Micah Deshazo
Micah Deshazo is a Case Manager/Care Coordinator in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2019.
- Licensed in
- OR
- In the registry since
- 2019
Practice location Address checks out
14600 NW Cornell RdPortland, OR 97229-5442
Phone: (503) 555-5555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X (OR) |
|---|
Record details
| NPI number | 1154963437 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 8, 2019 |
| Last updated in NPPES | October 8, 2019 |
| Mailing address | 14600 Nw Cornell Rd, Portland, OR 97229-5442 |
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