Organization · Type 2 NPI

Jeremy Mikolai ND Inc

Primary Care Clinic/Center · Portland, OR

NPI number 1033674841 Active

Practice location

2540 NE M L King Blvd
Portland, OR 97212-3732

Call (507) 800-0056 Map

Fax (844) 965-9136

Mailing address

4110 SE Hawthorne Blvd # 132
Portland, OR 97214-5246

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1033674841

Jeremy Mikolai ND Inc's National Provider Identifier is 1033674841, issued on Feb 6, 2019. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Portland, OR. The record was last updated on Feb 6, 2019.