Individual
MS. MICHELLE SHIRAZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3060 SE HAWTHORNE BLVD, PORTLAND, OR 97214-4121
(844) 966-6777
Mailing address
17185 SE VALLEY VIEW RD, PORTLAND, OR 97267-6340
(949) 525-7898
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10035361
OR
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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