Individual
DAVID MICHAEL MCGOVERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2045 SE MADISON ST, APT 15, PORTLAND, OR 97214
(503) 489-9794
(732) 753-7487
Mailing address
2045 SE MADISON ST, APT 15, PORTLAND, OR 97214
(503) 489-9794
(732) 753-7487
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
17921
OR
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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