Individual
MICHELLE TREECE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3580 SE 82ND AVE, PORTLAND, OR 97266-2902
(971) 339-9240
Mailing address
1011 COMMERCIAL ST NE, SALEM, OR 97301-1049
(503) 983-9900
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201407991LPN
OR
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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