Individual provider · Type 1 NPI

Michael R.r. Fanning

Student in an Organized Health Care Education/Training Program · Beaverton, OR

NPI number 1255898375 Active

Practice location

722 SW Sosa Pl
Beaverton, OR 97003-1643

Call (808) 358-3764 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1255898375

Michael R.r. Fanning's National Provider Identifier is 1255898375, issued on Feb 25, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Beaverton, OR. The record was last updated on Feb 25, 2019.