Micah Bates, PA-C

NPI #1184971004 in Portland, Oregon

Provider Information

NPI Number
1184971004
Entity Type
Individual
Name
Micah Bates, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Surgical
Credential
PA-C
Enumeration Date
Aug 9, 2012
Last Updated
Nov 4, 2012

Practice Location

Address
3181 SW SAM JACKSON PARK RD
State
Oregon
ZIP Code
97239-3011
Phone
(503) 494-9635

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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