Michael Mcnickle
NPI #1689080491 in Mcminnville, Oregon
Provider Information
- NPI Number
- 1689080491
- Entity Type
- Individual
- Name
- Michael Mcnickle
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jul 2, 2014
- Last Updated
- Jul 2, 2014
Practice Location
- Address
- 3026 NE NEWBY ST
- City
- Mcminnville
- State
- Oregon
- ZIP Code
- 97128-9169
- Phone
- (503) 437-5761
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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