Individual
MICHAEL HARANZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3849 SW HALL BLVD, BEAVERTON, OR 97005-2049
(503) 574-3525
Mailing address
3849 SW HALL BLVD, BEAVERTON, OR 97005-2049
(503) 574-3525
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
10562
OR
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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