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Micah Atwood
Student in an Organized Health Care Education/Training Program in Lebanon, Oregon
NPI 1144789520

Micah Atwood is a Student in an Organized Health Care Education/Training Program based in Lebanon, OR. Micah Atwood practices in Lebanon, OR. The NPI Number for Micah Atwood is 1144789520 and holds a License No. (Oregon).

The current practice location address for Micah Atwood is 200 Mullins Dr, Lebanon, OR and can be reached out via phone at 253-341-8022.

Location: 200 Mullins Dr, Lebanon, OR, 97355
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144789520
Provider Name
Micah Atwood
Credential
Provider Entity Type
Individual
Gender
Male
Address
200 Mullins Dr, Lebanon, OR, 97355
Phone Number
253-341-8022
Fax Number
Provider Enumeration Date
03/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 Mullins Dr
City
Lebanon
State
Oregon
Zip
97355
Phone Number
253-341-8022
Fax Number
person
Provider Business Mailing Address Details
Address
200 Mullins Dr
City
Lebanon
State
Oregon
Zip
97355
Phone Number
253-341-8022
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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