Individual
MICHAEL JAMES STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSRN
Contact information
Practice address
4531 SE BELMONT ST STE 100, PORTLAND, OR 97215-1675
(541) 965-0722
Mailing address
4531 SE BELMONT ST STE 100, PORTLAND, OR 97215-1675
(541) 965-0722
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
202002804RN
OR
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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