MICHAEL DAVID FOX

PORTLAND, OR
NPI1043685407
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: OR  DO192476)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR  PG177909)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-12-09
Last Update Date2019-06-26
Business Address
Dr. MICHAEL DAVID FOX D.O.
1015 NW 22ND AVE # 230
PORTLAND, OR 97210-3025
Phone number: 503-413-7711
Mailing Address
Dr. MICHAEL DAVID FOX D.O.
1015 NW 22ND AVE # 230
PORTLAND, OR 97210-3025
Phone number: 503-413-7711