Individual
DR. MICAH KIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4427 NE FREMONT ST, PORTLAND, OR 97213-1153
(503) 684-8252
Mailing address
4048 NE 122ND AVE, BOX 301564, PORTLAND, OR 97294
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD194779
OR
Other
Enumeration date
06/16/2016
Last updated
12/17/2019
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