Individual
MICHELLE JEAN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP, PMHNP
Contact information
Practice address
1722 NW RALEIGH ST. SUITE 211 / MBX 410, PORTLAND, OR 97209-1753
(971) 282-2346
(971) 228-1382
Mailing address
1722 NW RALEIGH ST. SUITE 211 / MBX 410, PORTLAND, OR 97209-1753
(971) 282-2346
(971) 228-1382
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
200550161NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201250209NP
OR
Other
Enumeration date
05/05/2006
Last updated
08/04/2015
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