Doctor Name: | MICHELLE MARTELL |
NPI Number: | 1194020099 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 200542159RN |
Business Practice Address: | 419 E 7th St Ste 207 The Dalles, OR - 970582676 |
Business Phone Number: | 5412965452 |
Business Fax Number: | |
Mailing Address: | 419 E 7th St Ste 207, THE DALLES |
State: | OR |
Postal Code: | 970582676 |
Phone Number: | 5412965452 |
Fax Number: | |
NPI Enumeration Date: | 01/24/2011 |
NPI Last Update Date: | 01/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 200542159RN |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |