Healthcare Provider Details

I. General information

NPI: 1225072317
Provider Name (Legal Business Name): MICHAEL ANDREW MAY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 12/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 NW PROFESSIONAL DR STE 100
CORVALLIS OR
97330-3891
US

IV. Provider business mailing address

2211 NW PROFESSIONAL DR STE 100
CORVALLIS OR
97330-3891
US

V. Phone/Fax

Practice location:
  • Phone: 844-572-4254
  • Fax: 541-230-1189
Mailing address:
  • Phone: 844-572-4254
  • Fax: 541-230-1189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD16993
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: