MICAH THAYN

BAKER CITY, OR
NPI1982009817
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OR  PA17048)
Enumeration Date2014-11-04
Last Update Date2014-11-04
Business Address
-- MICAH THAYN PAC
3950 17TH ST
BAKER CITY, OR 97814-1300
Phone number: 541-523-1001
Mailing Address
-- MICAH THAYN PAC
3950 17TH ST
BAKER CITY, OR 97814-1300
Phone number: 541-523-1001
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