Provider Demographics
NPI:1174263230
Name:AMY MICHEL LMFT INC
Entity Type:Organization
Organization Name:AMY MICHEL LMFT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MARRIAGE & FAMILY THERAPIS
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:MICHEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:503-998-3415
Mailing Address - Street 1:8305 SE MONTEREY AVE
Mailing Address - Street 2:SUITE 220A
Mailing Address - City:HAPPY VALLEY
Mailing Address - State:OR
Mailing Address - Zip Code:97086-4393
Mailing Address - Country:US
Mailing Address - Phone:503-998-3415
Mailing Address - Fax:503-926-9313
Practice Address - Street 1:8305 SE MONTEREY AVE
Practice Address - Street 2:SUITE 220A
Practice Address - City:HAPPY VALLEY
Practice Address - State:OR
Practice Address - Zip Code:97086-4393
Practice Address - Country:US
Practice Address - Phone:503-998-3415
Practice Address - Fax:503-926-9313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-29
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health