MICAH BATES

PORTLAND, OR
NPI1184971004
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: OR  pa159966)
Enumeration Date2012-08-09
Last Update Date2012-11-04
Business Address
-- MICAH BATES PA-C
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-9635
Mailing Address
-- MICAH BATES PA-C
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-9635
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