Individual
DR. MICHELLE BLEYNAT VESSELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
6485 SW BORLAND RD STE B, TUALATIN, OR 97062-9762
(503) 692-1190
(503) 692-7017
Mailing address
6485 SW BORLAND RD STE C, TUALATIN, OR 97062-9762
(503) 692-1190
(503) 692-7017
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
34786
NC
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
MD18645
OR
Other
Enumeration date
04/11/2007
Last updated
04/28/2021
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