Individual
MICHAEL ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6 CENTERPOINTE DR STE 200, LAKE OSWEGO, OR 97035-8660
(503) 797-2273
(503) 234-8155
Mailing address
1001 MOLALLA AVE STE 100, OREGON CITY, OR 97045-3753
(503) 656-5273
(503) 650-4828
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD27757
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241506
—
OR
Enumeration date
09/25/2006
Last updated
10/30/2007
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