Individual
DR. MICHAEL JOHN MOTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
408 NW 7TH ST, CORVALLIS, OR 97330-6308
(541) 757-9933
Mailing address
85556 PINE GROVE RD, EUGENE, OR 97405-9707
(577) 592-4690
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5489
OR
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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