Individual
DR. MICHAEL PHILIP RESNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SSAM JACKSON PARK RD, PORTLAND, OR 97207
(503) 220-8262
(360) 737-1419
Mailing address
3491 NW RALEIGH ST, PORTLAND, OR 97210
(503) 220-8262
(360) 737-1419
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
09333
OR
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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