Individual
MICHELLE PETROFES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
620 RANCH RD, REEDSPORT, OR 97467-1720
(541) 271-2163
(541) 271-4058
Mailing address
620 RANCH RD, REEDSPORT, OR 97467-1720
(541) 271-2163
(541) 271-4058
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD14685
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276263
—
OR
Enumeration date
07/06/2006
Last updated
12/04/2014
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