Individual
MICHAEL STEPHEN MACVEIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 NW 6TH AVE FL 3, PORTLAND, OR 97209-3964
(503) 988-7468
(503) 988-3015
Mailing address
619 NW 6TH AVE FL 5, PORTLAND, OR 97209-3964
(503) 988-5020
(503) 988-5022
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD16030
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096511
—
OR
05
—
22959
—
OR
Enumeration date
03/01/2007
Last updated
12/12/2019
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