MICHAEL DESCLOUX

PORTLAND, OR
NPI1043577687
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: OR  201143647RN)
Enumeration Date2012-04-20
Last Update Date2012-04-20
Business Address
-- MICHAEL DESCLOUX RN
722 NE 162ND AVE
PORTLAND, OR 97230-5760
Phone number: 503-408-5016
Mailing Address
-- MICHAEL DESCLOUX RN
21505 NE WILLOW GLEN RD
FAIRVIEW, OR 97024-6793
Phone number: 832-875-5228