Individual
DR. MICHELLE D. ECKROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
534 PLEASANT VIEW WAY NW, SUITE 100, ALBANY, OR 97321-1789
(541) 812-5656
Mailing address
PO BOX 1188, CORVALLIS, OR 97339-1188
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD19737
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150019
—
OR
Enumeration date
06/09/2006
Last updated
11/09/2020
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