Individual
MR. MICHAEL SCOTT PASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2445 NE CUMULUS AVE STE A, MCMINNVILLE, OR 97128-8862
(503) 472-4688
(503) 474-4731
Mailing address
2445 NE CUMULUS AVE STE A, MCMINNVILLE, OR 97128-8862
(503) 472-4688
(503) 474-4731
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01029526A
IN
207W00000X
Ophthalmology Physician
Primary
M013286
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269696
—
OR
Enumeration date
08/14/2006
Last updated
12/01/2021
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