Individual provider · Type 1 NPI

Michael Bryan Tripp Sr., LMT

Contractor · Cottage Grove, OR

NPI number 1730366998 Active

Practice location

411 Washington Ave
Cottage Grove, OR 97424-2060

Fax (541) 942-9849

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000X11018 (OR)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1730366998

Michael Bryan Tripp Sr., LMT's National Provider Identifier is 1730366998, issued on Jan 29, 2008. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Cottage Grove, OR. The record was last updated on Jan 29, 2008.