Individual
DR. RODNEY DOUGLAS MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1585 LIBERTY ST SE, SALEM, OR 97302-4345
(503) 589-0565
(503) 589-0463
Mailing address
1585 LIBERTY ST SE, SALEM, OR 97302-4345
(503) 589-0565
(503) 589-0463
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD16437
OR
207R00000X
Internal Medicine Physician
MD16437
OR
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD16437
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058292
—
OR
01
—
137534
OR MEDICAID BILLING
OR
Enumeration date
05/28/2006
Last updated
09/03/2010
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