MR. MICHAEL FANNING

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1255898375

Practice Address

722 SW SOSA PL
Beaverton, OR 97003

Phone: (808) 358-3764

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1255898375 is the National Provider Identifier for MR. MICHAEL FANNING, a Student in an Organized Health Care Education/Training Program provider located in Beaverton, OR. This NPI was enumerated on February 25, 2019.
MR. MICHAEL FANNING practices at 722 SW SOSA PL, Beaverton, OR 97003.

Quick Facts

NPI
1255898375
Type
Individual
Enumerated
Feb 25, 2019
Last Updated
Feb 25, 2019

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