Michael L. Nichols, DO Valid NPI

Individual provider · Family Medicine Physician · Roseburg, OR

NPI

1568570547

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

DO186768 (OR)

Sex

Male

Sole proprietor

No

Enumerated

2006-08-29

Last updated

2020-06-25