MICHAEL INGERSOLL

PORTLAND, OR
NPI1902125289
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WI  15311430)
Enumeration Date2010-05-25
Last Update Date2022-08-28
Business Address
MICHAEL INGERSOLL
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8014
Mailing Address
MICHAEL INGERSOLL
3302 56TH AVE UNIT 203
KENOSHA, WI 53144-4908
Phone number:
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