Doctor Name: | MS. MICHELE L. HARRIS |
NPI Number: | 1083914402 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 8020 |
Business Practice Address: | 9430 Sw Coral St Ste. 203 Tigard, OR - 972236691 |
Business Phone Number: | 5035042554 |
Business Fax Number: | |
Mailing Address: | 730 Nw 185th Ave, #204 BEAVERTON |
State: | OR |
Postal Code: | 970062872 |
Phone Number: | 5035042554 |
Fax Number: | |
NPI Enumeration Date: | 11/01/2010 |
NPI Last Update Date: | 05/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 8020 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |