Individual
MICHAEL ANTHONY BIGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
790 S MAIN ST, MYRTLE CREEK, OR 97457-9303
(541) 672-9596
Mailing address
150 NE KENNETH FORD DR, ROSEBURG, OR 97470-1042
(541) 672-9596
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202009233NP-PP
OR
Other
Enumeration date
02/10/2020
Last updated
10/13/2020
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