Healthcare Provider Details

I. General information

NPI: 1578285920
Provider Name (Legal Business Name): MICHELLE L DIGNAN LCSW LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2022
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 HIGH ST
OREGON CITY OR
97045-2241
US

IV. Provider business mailing address

343 SW MT ADAMS ST
MCMINNVILLE OR
97128-9142
US

V. Phone/Fax

Practice location:
  • Phone: 503-657-8903
  • Fax:
Mailing address:
  • Phone: 541-420-3381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberL16632
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: