Michaels, Rodney Douglas

Michaels, Rodney Douglas is an individual health care provider with primary practice located at 1585 Liberty St Se , Salem OR 97302-4345. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Michaels, Rodney Douglas can be contacted via phone (503) 589-0565.

Contact Information

Primary practice address
1585 Liberty St Se Salem OR 97302-4345
Phone: (503) 589-0565
Fax: (503) 589-0463
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD16437 Oregon
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD16437 Oregon
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD16437 Oregon

Profile Details

NPI number 1386691061
LBN Legal business name Michaels, Rodney Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Sep 3rd, 2010 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386691061 NPPES
Oregon Other 137534 OR MEDICAID BILLING
Oregon MEDICAID 058292 OR MEDICAID BILLING

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