Provider Demographics
NPI:1639639339
Name:MUSE, MIKEL ELIZABETH (DO)
Entity type:Individual
Prefix:DR
First Name:MIKEL
Middle Name:ELIZABETH
Last Name:MUSE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1793 13TH ST SE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-2541
Mailing Address - Country:US
Mailing Address - Phone:503-362-8385
Mailing Address - Fax:503-362-8435
Practice Address - Street 1:2415 NE 134TH ST STE 107
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-3031
Practice Address - Country:US
Practice Address - Phone:971-915-8573
Practice Address - Fax:503-362-8435
Is Sole Proprietor?:No
Enumeration Date:2019-03-20
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP61674158207ND0101X, 207N00000X
ORDO224737207ND0101X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207N00000XAllopathic & Osteopathic PhysiciansDermatology