Healthcare Provider Details

I. General information

NPI: 1336223064
Provider Name (Legal Business Name): MICHELLE LEIGH EHRLICH POWERS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MICHELLE EHRLICH

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date: 07/17/2007
Reactivation Date: 08/06/2007

III. Provider practice location address

1000 N LEE AVE DEPT. OF PATHOLOGY
OKLAHOMA CITY OK
73102-1036
US

IV. Provider business mailing address

1000 N LEE AVE DEPT. OF PATHOLOGY
OKLAHOMA CITY OK
73102-1036
US

V. Phone/Fax

Practice location:
  • Phone: 405-752-3828
  • Fax: 405-270-7567
Mailing address:
  • Phone: 405-752-3828
  • Fax: 405-270-7567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number27447
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberN1839
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: