Individual
MICHELLE RENEE PEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4906 NE 6TH AVE, PORTLAND, OR 97211-3912
(503) 916-6456
Mailing address
4906 NE 6TH AVE, PORTLAND, OR 97211-3912
(503) 916-6456
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
121213
OR
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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