Search › Oregon › 171M00000X
Micah Deshazo
NPI 1154963437 · on the registry since 2019
Practice
- Address
- 14600 Nw Cornell Rd
Portland, OR 97229 - Phone
- (503) 555-5555
- Organisation at this address
- Life Works Northwest
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 309
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-10-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon