Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AUDREY MICHELLE MIKKELSON, DMD, MSD
ActiveDR. AUDREY MICHELLE MIKKELSON, DMD, MSD is a Pediatric Dentistry healthcare provider located in PORTLAND, Oregon. NPI 1912394578 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · PORTLAND, OR
Registration Details
- NPI Number
- 1912394578
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 22, 2015 (11.336153810271 yrs)
- Last Updated
- Nov 5, 2024
- Licenses
-
DE61168847 (WA)D10484 (OR)
Practice Information
- Address
-
5415 SW WESTGATE DR STE 207PORTLAND, OR, 972212429Browse OR providers · Browse ZIP 97221
- Phone
- 5032929274
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| DR. NOEL VEE LARSEN | D.M.D. | 1437156734 |
| DR. RICHARD I. PARK | DMD | 1306843669 |
| DR. JACQUELINE BOURDETTE | D.M.D. | 1538166517 |
| DR. MICHAEL CHARLES ROYSE | D.M.D. | 1336146307 |
| DR. GARY RANDALL NELSON | D.D.S. | 1598746687 |
| MR. SAMER HAKIMEH | DDS, MS | 1760407688 |
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.