Individual provider · Type 1 NPI

Michael James Wanninger, RN BSN

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

NPI number 1427893528 Active

Practice location

2304 SE Tibbetts St
Portland, OR 97202-2177

Call (916) 768-4379 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X10008614 (OR)

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 1427893528

Michael James Wanninger, RN BSN's National Provider Identifier is 1427893528, issued on Jun 28, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Jun 28, 2024.