Individual
SIRI MICHEL-MIDELFORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
328 NE FAILING ST, PORTLAND, OR 97212-1157
(503) 308-1070
Mailing address
6003 N MICHIGAN AVE, PORTLAND, OR 97217-1804
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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