Individual
KEVIN MICHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
73142 PURCHASE LN, PENDLETON, OR 97801-9151
(206) 948-8308
Mailing address
73142 PURCHASE LN, PENDLETON, OR 97801-9151
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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