Individual
MICHAEL KEITH DEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3333 RIVERBEND DR, SPRINGFIELD, OR 97477-8800
(541) 222-7300
Mailing address
1213 E 3RD ST, LOVELAND, CO 80537-5813
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
10016237
OR
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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