Individual
MICHAEL JOHN VEVERKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 3RD ST, TILLAMOOK, OR 97141-3430
(503) 815-2281
(503) 815-2283
Mailing address
PO BOX 1060, TILLAMOOK, OR 97141-1060
(503) 812-6922
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
10677
OR
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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