Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 4259 | OR |
NPI | 1093356750 |
---|---|
Provider Name | Dr. Michael William Mckee |
First Address | Portland, OR 97217-3758 |
Second Address | Portland, OR 97210-3400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2019 |
Last Update Date | 03/10/2019 |