NPI 1245518000

Michelle Lynn Gorton, CST

Practitioner Surgical Technologist Moscow, ID

Practice location

Address: 2500 W a St Suite 201, Moscow, ID 83843-6000
Phone: (208) 883-2828
Fax: (208) 882-2179

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X Licence ST00003279 (WA)

Other Specialist/Technologist, Other providers in Idaho →

Registry record

NPI: 1245518000
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jul 2011
Record last updated: 28 Jul 2011

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.