Individual
MICHELLE ANTOINETTE WICKLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
T/CHW,DOULA,CRM,HCW
Contact information
Practice address
1218 NE MARINERS LOOP, PORTLAND, OR 97211-1577
(503) 933-7271
Mailing address
1218 NE MARINERS LOOP, PORTLAND, OR 97211-1577
(503) 933-7271
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
111929
OR
172V00000X
Community Health Worker
Primary
111929
OR
374J00000X
Doula
111929
OR
Other
Enumeration date
09/12/2025
Last updated
03/19/2026
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