Individual
DR. MICHELLE L JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
24988 SE STARK ST, SUITE 220, GRESHAM, OR 97030-8322
(503) 674-1580
Mailing address
1414 NE HANCOCK ST, PORTLAND, OR 97212-4440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD25190
OR
Other
Enumeration date
03/20/2006
Last updated
02/24/2011
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