Individual
MS. MICHELLE R LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, UHS-2, PORTLAND, OR 97239-3011
(503) 494-4910
Mailing address
2717 SE 70TH AVE, PORTLAND, OR 97206-1114
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
L000448CRNA
OR
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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