Individual
MICHAEL ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 273-5065
Mailing address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 273-5065
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201506175RN
OR
Other
Enumeration date
09/28/2015
Last updated
09/28/2015
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