Search › Oregon › 171M00000X
Donald Mickey, BS
NPI 1952774101 · on the registry since 2015
Practice
- Address
- 200 Beatty St
Medford, OR 97501 - Phone
- (541) 774-4812
- Fax
- (541) 774-7979
- Organisation at this address
- Genoa Healthcare Llc
Options For Southern Oregon
Options For Southern OregonInferred from a shared address, not stated in the registry. - Clinicians at this address
- 179
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101YM0800X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-10-23
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