Individual
MICHELLE NATALIE NIGL-CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
CDRC, 700 SW CAMPUS DRIVE, PORTLAND, OR 97239
(800) 452-3563
Mailing address
CDRC, P.O. BOX 574, PORTLAND, OR 97207
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1049065
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213698
—
OR
Enumeration date
09/20/2006
Last updated
07/13/2007
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