Individual
MICHAEL KING II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 E HIGHLAND AVE, HERMISTON, OR 97838-2611
(541) 429-4146
Mailing address
420 E HIGHLAND AVE, HERMISTON, OR 97838-2611
(541) 429-4146
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
519145
OR
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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