Michael Irvin

NPI #1154738391 in Portland, Oregon

Provider Information

NPI Number
1154738391
Entity Type
Individual
Name
Michael Irvin
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 21, 2014
Last Updated
Jul 21, 2014

Practice Location

Address
6010 SW SHATTUCK RD
State
Oregon
ZIP Code
97221-1043
Phone
(503) 246-8811

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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