Individual
BRYAN MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHA
Contact information
Practice address
1913 MEADE ST, NORTH BEND, OR 97459-3432
(541) 756-4508
(541) 756-4550
Mailing address
715 SW RAMSEY AVE, GRANTS PASS, OR 97527-5500
(541) 956-4946
(541) 956-5453
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
03/07/2016
Last updated
04/25/2017
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