Individual
MRS. MICHELLE TATE FARAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
5939 SE BELMONT ST UNIT A, PORTLAND, OR 97215-1994
(503) 774-2240
(503) 231-8887
Mailing address
149 SW RIDGE DR, PORTLAND, OR 97219-6555
(971) 221-2658
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
71 3705
OR
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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