Individual
MS. MICHELLE ROSE CAPPADONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3303 SW BOND AVE STE 5, PORTLAND, OR 97239-4501
(503) 494-6687
Mailing address
3303 SW BOND AVE STE 5, PORTLAND, OR 97239-4501
(503) 494-6687
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
BAP-E-10177914
OR
Other
Enumeration date
11/11/2016
Last updated
11/11/2016
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