Individual
MICHAEL IDOWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12626 SE SKYSHOW PL UNIT 207, HAPPY VALLEY, OR 97086-4475
(410) 412-0792
Mailing address
12626 SE SKYSHOW PL UNIT 207, HAPPY VALLEY, OR 97086-4475
(410) 412-0792
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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