Block, Michelle Marie

Block, Michelle Marie is an individual health care provider with primary practice located at 3009 Ne 65Th Ave , Portland OR 97213-4533. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Block, Michelle Marie can be contacted via phone (503) 732-0055.

Contact Information

Primary practice address
3009 Ne 65Th Ave Portland OR 97213-4533
Phone: (503) 732-0055
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2565 Oregon

Profile Details

NPI number 1518225887
LBN Legal business name Block, Michelle Marie
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2012
Last updated Feb 15th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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