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NPI Code Detail

MEDICARE: DR. MICHAEL PINN M.D.

MEDICARE: DR. MICHAEL PINN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianF9959TX
2207Q00000XFamily Medicine PhysicianMD165138OR

General Provider Information

NPI Number : 1053346072
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL PINN M.D.
Provider Business Mailing Address
First Line : 17055 RUBEN LN
Second Line :
City : SANDY
State : OR
Zip : 97055-9276
Country : US
Telephone Number : 503-668-8002
Fax Number :
Provider Business Practice Location Address
First Line : 17055 RUBEN LN
Second Line :
City : SANDY
State : OR
Zip : 97055-9276
Country : US
Telephone Number : 503-668-8002
Fax Number : 503-668-5246
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 02/21/2022

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Directions to “ DR. MICHAEL PINN M.D.” Practice Location

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