Hairgrove, Michelle A

Hairgrove, Michelle A is an individual health care provider with primary practice located at 1310 Sw 17Th Ave , Portland OR 97201-2522. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Hairgrove, Michelle A can be contacted via phone (503) 231-2641.

Contact Information

Primary practice address
1310 Sw 17Th Ave Portland OR 97201-2522
Phone: (503) 231-2641
Fax: (503) 467-4077
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X THW000105614 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 22-QMHA-I-003337 Oregon
Other Service Providers / Community Health Worker 172V00000X THW000105614 Oregon

Profile Details

NPI number 1487313375
LBN Legal business name Hairgrove, Michelle A
Credentials CHW/PSS/QMHA-I
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2021
Last updated Jan 24th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1487313375 NPPES
Oregon MEDICAID 500801690
Oregon MEDICAID 500801682

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