Provider Demographics
NPI:1306869839
Name:MICHELS, WILLIAM LEE (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:LEE
Last Name:MICHELS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:421 SW OAK ST
Mailing Address - Street 2:STE. 210
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97204-1817
Mailing Address - Country:US
Mailing Address - Phone:503-988-7468
Mailing Address - Fax:503-988-3015
Practice Address - Street 1:426 SW STARK ST
Practice Address - Street 2:5TH FLOOR
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97204-2347
Practice Address - Country:US
Practice Address - Phone:503-988-5140
Practice Address - Fax:503-988-5180
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2014-06-20
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Provider Licenses
StateLicense IDTaxonomies
FLME79828207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR22959Medicaid
ORR0000WCJHTMedicare Oscar/Certification