Individual
MICHAEL BIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14308 NE SANDY BLVD UNIT 20, PORTLAND, OR 97230-3553
(971) 707-5273
Mailing address
14308 NE SANDY BLVD UNIT 20, PORTLAND, OR 97230-3553
(971) 707-5273
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
3752210
OR
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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