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Individual

DR. ROBERT PAULSEN MICHAEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
675 N 5TH ST, LEBANON, OR 97355-2875
(541) 451-6282
(541) 812-2038
Mailing address
PO BOX 1193, CORVALLIS, OR 97339-1193

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0116026909
VA
208000000X
Pediatrics Physician
Primary
184207
OR

Other

Enumeration date
06/03/2014
Last updated
07/21/2022
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