| NPI | 1124064506 |
|---|---|
| Doing Business As | FIREHOUSE DIABETES & ENDOCRINE CENTER |
| Entity Type | Organization |
| Authorized Contact | RODNEY DOUGLAS MICHAELS Owner 503-589-0565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OR MD16437) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2010-07-16 |