Individual
MARCIA MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7455 SW BEVELAND RD, TIGARD, OR 97223-8610
(503) 624-2600
(503) 624-7752
Mailing address
PO BOX 82819, PORTLAND, OR 97282-0819
(503) 233-5405
(503) 233-2692
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
00219
IA
106H00000X
Marriage & Family Therapist
50275
CA
106H00000X
Marriage & Family Therapist
Primary
T1017
OR
Other
Enumeration date
09/27/2006
Last updated
07/24/2015
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