Individual
MICHAEL S MEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
10200 SW EASTRIDGE ST, STE 105, PORTLAND, OR 97225-5031
(503) 207-2066
(503) 548-4981
Mailing address
10200 SW EASTRIDGE ST, STE 105, PORTLAND, OR 97225-5031
(503) 207-2066
(503) 548-4981
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD18185
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232463
—
OR
01
—
P00461865
RR MEDICARE
OR
Enumeration date
06/27/2006
Last updated
10/20/2016
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