MICHAEL JAMES WANNINGER

PORTLAND, OR
NPI1427893528
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR  10008614)
Enumeration Date2024-06-28
Last Update Date2024-06-28
Business Address
MICHAEL JAMES WANNINGER RN BSN
2304 SE TIBBETTS ST
PORTLAND, OR 97202-2177
Phone number: 916-768-4379
Mailing Address
MICHAEL JAMES WANNINGER RN BSN
2304 SE TIBBETTS ST
PORTLAND, OR 97202-2177
Phone number: 916-768-4379
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