Individual
MICHAEL DENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3201 PACIFIC BLVD SW, ALBANY, OR 97321-7705
(541) 248-7073
Mailing address
2908 PINE ST SE, ALBANY, OR 97322-5620
(503) 234-9591
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
201390797
OR
225700000X
Massage Therapist
Primary
14735
OR
Other
Enumeration date
03/11/2013
Last updated
01/17/2018
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