Individual
MICHAEL PIDGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-1111
Mailing address
2260 N SUMMIT AVE APT 312, MILWAUKEE, WI 53202-1238
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10027219
OR
163W00000X
Registered Nurse
260865-30
WI
163W00000X
Registered Nurse
4704301083
MI
Other
Enumeration date
08/09/2024
Last updated
08/30/2024
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