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Individual

DR. MICHAEL JAMES MUNLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9155 SW BARNES RD STE 735, PORTLAND, OR 97225-6634
(503) 297-1351
(503) 297-2851
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
171532
OR
208C00000X
Colon & Rectal Surgery Physician
Primary
MD171532
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2024806
WA
05
500656111
OR
Enumeration date
04/20/2009
Last updated
11/07/2024
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