Provider Demographics
NPI:1073304234
Name:MORRISON, MICHELLE CHRISTINE REED (MA-CCC-SLP)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:CHRISTINE REED
Last Name:MORRISON
Suffix:
Gender:F
Credentials:MA-CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13878 SE TARALON DR
Mailing Address - Street 2:
Mailing Address - City:HAPPY VALLEY
Mailing Address - State:OR
Mailing Address - Zip Code:97015-7714
Mailing Address - Country:US
Mailing Address - Phone:408-204-4404
Mailing Address - Fax:
Practice Address - Street 1:11326 SE 47TH AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97222-5459
Practice Address - Country:US
Practice Address - Phone:503-675-4097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23400235Z00000X
OR016488235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist