Individual
DR. MIKEANNE MINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 N COLUMBIA RIVER HWY, STE 6, SAINT HELENS, OR 97051-1299
(503) 397-0471
(503) 366-5519
Mailing address
500 N COLUMBIA RIVER HWY STE 6, SAINT HELENS, OR 97051-1201
(503) 397-0471
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD23889
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227042
—
OR
Enumeration date
04/18/2006
Last updated
07/08/2007
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