Provider Demographics
NPI:1306021852
Name:PARTRIDGE, MICHELE (BSN, RN, CDE)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:PARTRIDGE
Suffix:
Gender:F
Credentials:BSN, RN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 SW ABBEY
Mailing Address - Street 2:SAMARITAN PACIFIC COMMUNITIES HOSPITAL
Mailing Address - City:NEWPORT
Mailing Address - State:OR
Mailing Address - Zip Code:97365
Mailing Address - Country:US
Mailing Address - Phone:541-574-4682
Mailing Address - Fax:541-574-1834
Practice Address - Street 1:930 SW ABBEY ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:OR
Practice Address - Zip Code:97365-4820
Practice Address - Country:US
Practice Address - Phone:541-574-4682
Practice Address - Fax:541-574-1834
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-03
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR20120446163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR20104215OtherRN LIC#
OR20120446OtherCDE LIC#