MR. Michael John Panico, B.S.

NPI #1063615839 in Corvallis, Oregon

Provider Information

NPI Number: 1063615839
Entity Type: Individual
Name: MR. Michael John Panico, B.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: B.S.
Enumeration Date: Jun 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 4455 NE HIGHWAY 20
City: Corvallis
State: Oregon
ZIP Code: 97330-9695
Phone: (541) 758-5975

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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