IndividualActive
Loren Michelson
NPI 1154669679 · Physical Disabilities Residential Treatment Facility · Portland, OR
Provider details
- NPI number
- 1154669679
- Entity type
- Individual
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- M4848 (OR)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
4531 Se Belmont St
Portland, OR 97215-1675
Phone: (503) 546-9292
Approximate (ZIP-level) locationGet directions
Mailing address
4531 Se Belmont St
Portland, OR 97215-1675
Registry dates
- Enumerated
- 2013-01-17
- Last updated
- 2013-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.