Siri Michel-Midelfort, MSW
Social Worker in Portland, OR. Individual provider (NPI-1).
NPI number1497482467
StatusActive
Last updated in NPPESAug 1, 2022
Details
- NPI
- 1497482467
- Entity type
- Individual (NPI-1)
- Name
- Siri Michel-Midelfort
- Credential
- MSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 1, 2022
- Certification date
- Aug 1, 2022
- Last updated
- Aug 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
328 Ne Failing StPortland, OR 97212-1157
Phone 503-308-1070
Mailing address
6003 N Michigan AvePortland, OR 97217-1804
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