Individual
MICHAEL CHARLES WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3777 COMMERCIAL ST SE, SALEM, OR 97302-3832
(503) 588-1234
(503) 371-8662
Mailing address
3777 COMMERCIAL ST SE, SALEM, OR 97302-3832
(503) 588-1234
(503) 371-8662
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MD11684
OR
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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