IndividualActive
Mike Beverly
NPI 1134968464 · Health & Wellness Coach · Springfield, OR
Provider details
- NPI number
- 1134968464
- Entity type
- Individual
- Primary specialty
- Health & Wellness CoachOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
1110 18th St Ste 6
Springfield, OR 97477-4200
Phone: (541) 517-3970
Fax: (458) 201-8188
Approximate (ZIP-level) locationGet directions
Mailing address
1110 18th St Ste 6
Springfield, OR 97477-4200
Registry dates
- Enumerated
- 2024-05-24
- Last updated
- 2024-05-24
- Certified
- 2024-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.