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NPI Code Detail

MEDICARE: DR. MICHELLE M MONKMAN O.D.

MEDICARE: DR. MICHELLE M MONKMAN O.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
1152W00000XOptometrist2456ATIOR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497801708
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELLE M MONKMAN O.D.
Provider Business Mailing Address
First Line : 1815 SW EMIGRANT AVE
Second Line :
City : PENDLETON
State : OR
Zip : 97801-1843
Country : US
Telephone Number : 541-276-3653
Fax Number : 541-966-4322
Provider Business Practice Location Address
First Line : 1815 SW EMIGRANT AVE
Second Line :
City : PENDLETON
State : OR
Zip : 97801-1843
Country : US
Telephone Number : 541-276-3653
Fax Number : 541-966-4322
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2007
Last Update Date : 06/04/2024

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