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Michael Irvin
NPI 1154738391 · on the registry since 2014 · sole proprietor
Practice
- Address
- 6010 Sw Shattuck Rd
Portland, OR 97221 - Phone
- (503) 246-8811
- Fax
- (503) 246-9557
- Organisation at this address
- Marquis Companies I, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 314000000X
314000000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon