MICHAEL HENRY

GRAND RONDE, OR
NPI1154104800
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: OR  THW000109397)
Enumeration Date2023-08-16
Last Update Date2023-08-16
Business Address
MICHAEL HENRY PWS
9605 GRAND RONDE RD
GRAND RONDE, OR 97347-9712
Phone number: 503-879-2060
Mailing Address
MICHAEL HENRY PWS
9605 GRAND RONDE RD
GRAND RONDE, OR 97347-9712
Phone number: 503-879-2060