NPI 1134968464
Mike Beverly
Practice location
- Address
- 1110 18th St STE 6, Springfield, OR 97477-4200
- Phone
- (541) 517-3970
- Fax
- (458) 201-8188
Registered specialties
Health & Wellness Coach
Primary
Registry record
- NPI
- 1134968464
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 May 2024
- Record last updated
- 24 May 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.