NPI 1164231270

Michael Bird

Practitioner Driver Portland, OR

Practice location

Address: 14308 NE Sandy Blvd Unit 20, Portland, OR 97230-3553
Phone: (971) 707-5273

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 3752210 (OR)

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Registry record

NPI: 1164231270
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jan 2025
Record last updated: 3 Jan 2025

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.