Organization
MICHELLE L. MEARS, MD , P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE L MEARS M.D. (OWNER)
(503) 647-9400
Entity
Organization
Contact information
Practice address
10395 NW GLENCOE RD, SUITE 200, NORTH PLAINS, OR 97133-8208
(503) 647-9400
(503) 647-5120
Mailing address
10395 NW GLENCOE RD, SUITE 200, NORTH PLAINS, OR 97133-8208
(503) 647-9400
(503) 647-5120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD19086
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068353
—
OR
Enumeration date
12/04/2008
Last updated
12/04/2008
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