Individual
BARBARA MICHAELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
94220 4TH ST, GOLD BEACH, OR 97444-7772
(541) 247-3974
(541) 247-2435
Mailing address
62668 W CATCHING RD, COOS BAY, OR 97420-7333
(541) 404-1021
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD22097
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134265
—
OR
Enumeration date
06/21/2006
Last updated
03/20/2022
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