Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | H1279 | TX |
N | 207QA0505X | Family Doctor - Adult Medicine | H1279 | TX |
N | 207QG0300X | Family Doctor - Geriatric Medicine | H1279 | TX |
NPI | 1154320380 |
---|---|
Provider Name | Dr. Michael Stan Findley |
First Address | Springfield, OR 97477-2594 |
Second Address | Springfield, OR 97477-2594 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2005 |
Last Update Date | 20/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0017EK | BLUE CROSS/BLUE SHIELD (01) | TX |
115731 | AETNA (01) | TX |
12366 | TEXAN PLUS (01) | TX |
131147401 | (05) | TX |
E16400 | (02) | TX |
P00464512 | (02) |