MICHELLE R EIDE, LMT

NPI: 1710134861 · Individual · Active

Primary Specialty

Contractor

Practice Location

683 JUNE DR
MOLALLA, OR 97038-9281 Map ↗
Phone: 503-351-7896
Fax: 503-829-7640

All Specialties & Licenses

  • Contractor Primary (license: 14804, OR)

NPI Registration

Enumerated: 2008-08-20

Last CMS Update: 2008-08-20