Individual
MARTA BETH MICHNIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2099
(800) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
201404493RN
OR
363LF0000X
Family Nurse Practitioner
Primary
10020363
OR
Other
Enumeration date
10/25/2022
Last updated
03/09/2026
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