Individual
MIKE KAUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
380 HICKORY ST NW, ALBANY, OR 97321-1726
(541) 812-3300
Mailing address
380 HICKORY ST NW, ALBANY, OR 97321-1726
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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