Individual
MICHELLE BARNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CADCI
Contact information
Practice address
1030 NE COUCH ST, PORTLAND, OR 97232-3067
(503) 239-8400
(503) 239-8407
Mailing address
7702 N COLUMBIA BLVD, PORTLAND, OR 97203-6104
(615) 478-5653
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L10768
OR
Other
Enumeration date
04/13/2017
Last updated
03/10/2022
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