Individual
MICHELLE HAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
55 NE GRAND AVE, PORTLAND, OR 97232-2968
(971) 230-7653
Mailing address
PO BOX 2164, LAKE OSWEGO, OR 97035
(650) 714-4134
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201390899RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274147
—
OR
Enumeration date
12/19/2013
Last updated
02/17/2016
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