MR. Michael R.r. Fanning is a student in an organized health care education training program in Beaverton, OR. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MR. Michael R.r. Fanning NPI is 1255898375. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
722 SW SOSA PL
BEAVERTON, OR
ZIP 97003-643
Phone: (808) 358-3764
The enumeration date for this NPI number is 2/25/2019 and was last updated on 2/25/2019.