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Individual

MICHAEL DARRYL COUNTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3425 13TH ST, BAKER CITY, OR 97814-1340
(541) 523-7400
(541) 523-4927
Mailing address
3425 13TH ST, BAKER CITY, OR 97814-1340
(541) 523-7400
(541) 523-4927

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
23-CRM-2711
OR
175T00000X
Peer Specialist
Primary
26-CRM-II-0560
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
B117472
ODL
OR
Enumeration date
12/19/2023
Last updated
02/23/2026
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