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Individual

DR. MICHAEL AHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C., M.S., B.S.

Contact information

Practice address
19755 SW TUALATIN VALLEY HWY, ALOHA, OR 97003-2338
(503) 430-5915
Mailing address
15272 SW MILLIKAN WAY, APT 432, BEAVERTON, OR 97003-6672
(971) 275-4851

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5790
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5790
OR
Enumeration date
01/23/2017
Last updated
01/23/2017
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