MICHAEL MIMS

PORTLAND, OR
NPI1588448617
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WE0003X Registered Nurse, Emergency
(Licence: MS  887609)
Enumeration Date2023-08-21
Last Update Date2023-08-21
Business Address
MICHAEL MIMS
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 360-759-1901
Mailing Address
MICHAEL MIMS
7466 GRANT VILLAGE DR APT C
SAINT LOUIS, MO 63123-1431
Phone number: 662-582-0579
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