Individual
MICHELLE JENNY GOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3831 MAIN ST STE 108, SPRINGFIELD, OR 97478-5801
(877) 522-1275
Mailing address
500 SW 7TH ST STE A205, RENTON, WA 98057-2983
(877) 522-1275
(833) 888-7145
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201906642NP-PP
OR
Other
Enumeration date
01/23/2020
Last updated
03/04/2025
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