Michelle Jean Roberts
Nurse Practitioner - Family Medicine Nurse Practitioner - Psychiatric/Mental Health
1722 Nw Raleigh St. Suite 211 / Mbx 410
Portland
, Oregon 97209-1753
Michelle Jean Roberts
Nurse Practitioner - Family Medicine Nurse Practitioner - Psychiatric/Mental Health
1722 Nw Raleigh St. Suite 211 / Mbx 410
Portland
, Oregon 97209-1753
(971) 228-1382
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Michelle Jean Roberts
- 1722 Nw Raleigh St. Suite 211 / Mbx 410
- Portland, OR
- Zip : 97209-1753
- Fax : (971) 228-1382
- Phone : (971) 282-2346
Second Address
- Michelle Jean Roberts
- 1722 Nw Raleigh St. Suite 211 / Mbx 410
- Portland, OR
- Zip : 97209-1753
- Fax : (971) 228-1382
- Phone : (971) 282-2346
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 200550161NP | OR |
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 201250209NP | OR |
National Provider Identifier
| NPI | 1023066446 |
|---|---|
| Provider Name | Michelle Jean Roberts |
| First Address | Portland, OR 97209-1753 |
| Second Address | Portland, OR 97209-1753 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/05/2006 |
| Last Update Date | 04/08/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.