Individual
DR. GRAYSON SAMUEL MICHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10150 SE ANKENY ST STE 201B, PORTLAND, OR 97216-2369
(503) 644-4664
Mailing address
20650 NE HALSEY ST APT N250, FAIRVIEW, OR 97024-7839
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5031
OR
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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