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Individual

DR. BEATRICE H MICHEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
800 MAIN AVE, SUITE A, TILLAMOOK, OR 97141-3814
(503) 842-5568
(503) 842-1122
Mailing address
800 MAIN AVE, SUITE A, TILLAMOOK, OR 97141-3760
(503) 842-5568
(503) 842-1122

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1932AT
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001201
OR
Enumeration date
12/07/2005
Last updated
07/09/2007
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