Individual
MS. MICHELE L. HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9430 SW CORAL ST, STE. 203, TIGARD, OR 97223-6691
(503) 504-2554
Mailing address
730 NW 185TH AVE, #204, BEAVERTON, OR 97006-2872
(503) 504-2554
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8020
OR
Other
Enumeration date
11/01/2010
Last updated
05/06/2013
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