Individual
MICHAEL H MAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4719 SW ROSEBERRY ST, CORVALLIS, OR 97333-1793
(503) 480-5086
Mailing address
PO BOX 1401, CORVALLIS, OR 97339-1401
(503) 480-5086
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
06/13/2008
Last updated
02/01/2014
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