Individual
MICHAEL SWINEHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9115 SW OLESON RD STE 100, PORTLAND, OR 97223-6876
(971) 236-0915
Mailing address
1199 NE ROMANE PL # 7101, HILLSBORO, OR 97006-6082
(530) 524-9942
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/07/2019
Last updated
07/07/2019
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