Individual
MR. MICHAEL ALLEN PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1955 NW NORTHRUP ST, PORTLAND, OR 97209-1614
(503) 227-2020
Mailing address
1955 NW NORTHRUP ST, PORTLAND, OR 97209-1614
(503) 227-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD192779
OR
Other
Enumeration date
03/13/2008
Last updated
02/19/2021
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