Organization
BAY AREA RADIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA A MICHAELIS MD (PRESIDENT)
(559) 455-4000
Entity
Organization
Contact information
Practice address
1775 THOMPSON RD, COOS BAY, OR 97420-2125
(541) 269-8090
(541) 269-8459
Mailing address
PO BOX 2488, UNIT 20, PORTLAND, OR 97208-2488
(559) 455-4000
(559) 455-4004
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
03/24/2010
Last updated
04/14/2010
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