Individual
MS. MICHELLE DAWN BIENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
1881 HUMBUG CREEK RD, APPLEGATE, OR 97530
(541) 846-0656
Mailing address
1881 HUMBUG CREEK RD, APPLEGATE, OR 97530
(541) 846-0656
Taxonomy
Speciality
Code
Description
License number
State
172P00000X
Naprapath
Primary
1182
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181551
—
OR
Enumeration date
05/02/2007
Last updated
07/08/2007
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