Individual
MR. STEVEN WAYNE MIKALSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4004 SW KELLY AVE, SUITE 204, PORTLAND, OR 97239-4389
(503) 241-4757
Mailing address
4004 SW KELLY AVE, SUITE 204, PORTLAND, OR 97239-4389
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
4298
OR
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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