Individual
MICHELLE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10373 NE HANCOCK ST STE 200, PORTLAND, OR 97220-3873
(503) 253-6754
(503) 253-8020
Mailing address
14802 NE 117TH CIRCLE, VANCOUVER, WA 98682-2191
(360) 931-1373
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163W00000X
Registered Nurse
RN00158264
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201706909NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN00158264
WA
Other
Enumeration date
03/27/2015
Last updated
05/13/2024
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