Mesa, Michael Vincent
Mesa, Michael Vincent is an sole proprietor health care provider with primary practice located at 8192 Sw Durham Rd , Tigard OR 97224-7315. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Mesa, Michael Vincent can be contacted via phone (503) 257-5568.Contact Information
Primary practice address
8192 Sw Durham Rd
Tigard OR 97224-7315
Phone: (503) 257-5568
Fax: (503) 257-5566
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | DO21359 | Oregon |
Profile Details
| NPI number | 1184744351 |
|---|---|
| LBN Legal business name | Mesa, Michael Vincent |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2007 |
| Last updated | May 22nd, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184744351 | NPPES |
| Oregon | MEDICAID | 134082 |
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