Angela Yoshimi Michael
Community Health Worker in Portland, OR. Individual provider (NPI-1).
NPI number1164095121
StatusActive
Last updated in NPPESJul 19, 2021
Details
- NPI
- 1164095121
- Entity type
- Individual (NPI-1)
- Name
- Angela Yoshimi Michael
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2021
- Certification date
- Jul 19, 2021
- Last updated
- Jul 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | 104446 | OR | Yes |
Practice location
11261 Ne Knott StPortland, OR 97220-1704
Phone 503-860-4323
Mailing address
Po Box 8459Portland, OR 97207-8459
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