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Individual

MICHAEL RAY SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
720 SE WASHINGTON ST., HILLSBORO, OR 97123
(503) 648-0753
(503) 648-0755
Mailing address
1027 E. BURNSIDE ST., PORTLAND, OR 97214
(503) 239-8400
(503) 269-8407

Taxonomy

Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary

Other

Enumeration date
02/13/2015
Last updated
02/13/2015
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