NPI 1154669679

Loren Beth Michelson

Practitioner Physical Disabilities Residential Treatment Facility Portland, OR

Practice location

Address: 4531 SE Belmont St, Portland, OR 97215-1675
Phone: (503) 546-9292

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence M4848 (OR)

Other Residential Treatment Facility, Physical Disabilities providers in Oregon →

Registry record

NPI: 1154669679
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jan 2013
Record last updated: 17 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.