Individual
MICHELE LYNN BABICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5050 NE HOYT ST STE 256, PORTLAND, OR 97213-2982
(503) 239-7767
(503) 215-6897
Mailing address
1498 SE TECH CENTER PL STE 240, VANCOUVER, WA 98683-5508
(360) 597-1313
(360) 597-1413
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD188635
OR
2086X0206X
Surgical Oncology Physician
Primary
MD188635
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2103827
—
WA
05
—
500747217
—
OR
Enumeration date
09/18/2008
Last updated
05/16/2024
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