Individual
MICHELE MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 NW 11TH ST, SUITE E-31, HERMISTON, OR 97838-8605
(541) 667-3657
Mailing address
600 NW 11TH ST, SUITE E-31, HERMISTON, OR 97838-8605
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8749
OR
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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