Michael Irvin
Michael Irvin is a Skilled Nursing Facility in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2014
Practice location Address checks out
6010 SW Shattuck RdPortland, OR 97221-1043
Phone: (503) 246-8811
Fax: (503) 246-9557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence 09071 (OR) |
|---|
Record details
| NPI number | 1154738391 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 21, 2014 |
| Last updated in NPPES | July 21, 2014 |
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