Krysta St Michell, MEDICAL STUDENT - Portland, OR

Krysta St Michell, MEDICALSTUDENT

Student in an Organized Health Care Education/Training Program in Portland, Oregon

NPI 1700519550

Krysta St Michell is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Krysta St Michell practices in Portland, OR and has the professional credentials of MEDICALSTUDENT. The NPI Number for Krysta St Michell is 1700519550 and holds a License No. (Oregon).

The current practice location address for Krysta St Michell is 2730 Sw Moody Avenue Portland, Or, Portland, OR and can be reached out via phone at 541-510-3165.

Location: 2730 Sw Moody Avenue Portland, Or, Portland, OR, 97201

NPI Number

1700519550

Provider Name

Krysta St Michell

Credential

MEDICALSTUDENT

Provider Entity Type

Individual

Gender

Female

Address

2730 Sw Moody Avenue Portland, Or, Portland, OR, 97201

Phone Number

541-510-3165

Fax Number

Provider Enumeration Date

07/07/2022

Last Update Date

03/10/2024

Address

2730 Sw Moody Avenue Portland, Or

City

Portland

State

Oregon

Zip

97201

Phone Number

541-510-3165

Fax Number

Address

2730 Sw Moody Avenue Portland, Or

City

Portland

State

Oregon

Zip

97201

Phone Number

541-510-3165

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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