Individual
MR. MICHAEL THOMAS REXFORD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1355 NW EVERETT ST STE 100, PORTLAND, OR 97209-2655
(971) 433-5334
(971) 200-8669
Mailing address
1355 NW EVERETT ST STE 100, PORTLAND, OR 97209-2655
(971) 433-5334
(971) 200-8669
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
8875609-4701
UT
246RM2200X
Medical Laboratory Technician
—
—
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
04/20/2015
Last updated
10/27/2024
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