MRS. Loren Beth Michelson

NPI #1154669679 in Portland, Oregon

Provider Information

NPI Number
1154669679
Entity Type
Individual
Name
MRS. Loren Beth Michelson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Residential Treatment Facility, Physical Disabilities
Enumeration Date
Jan 17, 2013
Last Updated
Jan 17, 2013

Practice Location

Address
4531 SE BELMONT ST
State
Oregon
ZIP Code
97215-1675
Phone
(503) 546-9292

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Physical Disabilities

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