Individual
MICHELLE L UNDERHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15295 SW OBSIDIAN ST, BEAVERTON, OR 97007-8949
(503) 330-6946
Mailing address
15295 SW OBSIDIAN ST, BEAVERTON, OR 97007-8949
(503) 330-6946
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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