Whitehead, Michelle

Whitehead, Michelle is an individual health care provider with primary practice located at 26 Nw Irving , Bend OR 97701. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Whitehead, Michelle can be contacted via phone (554) 138-2516.

Contact Information

Primary practice address
26 Nw Irving Bend OR 97701
Phone: (554) 138-2516
Fax: (541) 382-6798
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1017 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 093006739N6 Oregon

Profile Details

NPI number 1851423776
LBN Legal business name Whitehead, Michelle
Credentials MHNP PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1851423776 NPPES
Oregon MEDICAID 118427

Popular Providers