Individual
MICHELLE ANN LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11124 NE HALSEY ST # 572, PORTLAND, OR 97220-2021
(888) 354-2758
Mailing address
11124 NE HALSEY ST # 572, PORTLAND, OR 97220-2021
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
NAR.NA.60451427
WA
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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