Individual provider · Type 1 NPI

Lisamarie Michaud

Mental Health Counselor · Portland, OR

NPI number 1972934057 Active

Practice location

14626 SE Powell Blvd Apt 106
Portland, OR 97236-2572

Call (971) 254-9600 Map

Fax (971) 254-9598

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1972934057

Lisamarie Michaud's National Provider Identifier is 1972934057, issued on Nov 27, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Feb 18, 2016.