Individual
MICHELLE CARMEN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2923 NE BROADWAY ST, PORTLAND, OR 97232-1760
(503) 208-5566
Mailing address
2923 NE BROADWAY ST, PORTLAND, OR 97232-1760
(503) 208-5566
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
26-QMHA-R-8403
OR
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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