Individual
MICHELLE SIDEROFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
8383 NE SANDY BLVD STE 205, PORTLAND, OR 97220-4967
(503) 253-0964
Mailing address
8383 NE SANDY BLVD STE 205, PORTLAND, OR 97220-4967
(503) 253-0964
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C5151
OR
Other
Enumeration date
06/23/2014
Last updated
10/23/2025
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