Individual
MRS. MICHELE FERCHAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7631
(503) 494-5256
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7631
(503) 494-5256
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200850074NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500601176
—
OR
Enumeration date
07/14/2008
Last updated
03/08/2023
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