Individual
MICHELLE LACHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-4500
Mailing address
3181 SAM JACKSON PK ROAD, PORTLAND, OR 97239-3011
(503) 418-4500
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
090006472N5
OR
Other
Enumeration date
05/28/2006
Last updated
11/29/2012
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