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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. MICHELLE MEILANIE HARSONO, PA-C

Active

MS. MICHELLE MEILANIE HARSONO, PA-C is a Surgical Physician Assistant healthcare provider located in PORTLAND, Oregon. NPI 1689966806 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · PORTLAND, OR

Registration Details

NPI Number
1689966806
Provider Type
Individual
Gender
Female
NPI Issued
May 5, 2011 (15.286983613266 yrs)
Last Updated
Oct 5, 2015
Licenses
PA155408 (OR)
PA155408 (OR)

Practice Information

Address
501 N GRAHAM ST
SUITE 420
PORTLAND, OR, 972271654
Browse OR providers · Browse ZIP 97227
Phone
5032887303
Fax
5032883806
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Medical Physician Assistant

Other Surgical Physician Assistant Providers in PORTLAND, OR

Name Credential NPI
JENNIFER HOPE CHRISTIANSEN P.A. 1851394878
CAROLINE MAY-SAN FUNG P.A. 1558364489
MRS. PAULA DEANNE DIETSCH KUIPER PA-C 1508869157
CAROLYN ANNE FRANCIS PA-C 1790780401
CYNTHIA ANN BOHAN PAC 1992797039
KRISTINE JOST WINDOM PAC 1841282357
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.