Individual provider · Type 1 NPI

Marta Beth Michniewicz

Family Nurse Practitioner · Portland, OR

NPI number 1497472906 Active

Practice location

19500 SE Stark St
Portland, OR 97233-5757

Mailing address

500 NE Multnomah St Ste 100
Portland, OR 97232-2099

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X10020363 (OR)
Emergency Registered Nurse 163WE0003X201404493RN (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1497472906

Marta Beth Michniewicz's National Provider Identifier is 1497472906, issued on Oct 25, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Mar 9, 2026.