Individual
MICHAEL J FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
145 S WORTHEN ST, WENATCHEE, WA 98801-3081
(509) 662-6761
Mailing address
145 S WORTHEN ST, WENATCHEE, WA 98801-3081
(509) 662-6761
(509) 662-3182
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60768662
MEDICARE NSC
WA
05
—
60768662
—
WA
Enumeration date
07/18/2017
Last updated
12/06/2017
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