Provider Demographics
NPI:1366648388
Name:FOX, MICHELLE L (RDCS)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:L
Last Name:FOX
Suffix:
Gender:F
Credentials:RDCS
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:L
Other - Last Name:HOYT-WHEELER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 ROBB RD
Mailing Address - Street 2:
Mailing Address - City:KALAMA
Mailing Address - State:WA
Mailing Address - Zip Code:98625-9608
Mailing Address - Country:US
Mailing Address - Phone:360-673-6466
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF WA M C
Practice Address - Street 2:1959 NE PACIFIC ST.
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-0001
Practice Address - Country:US
Practice Address - Phone:206-548-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA113587246XS1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography