Healthcare Provider Details

I. General information

NPI: 1700224516
Provider Name (Legal Business Name): MICHELLE DEE PIES D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2013
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 COMMERCIAL ST NE
SALEM OR
97301-1049
US

IV. Provider business mailing address

9605 GRAND RONDE RD
GRAND RONDE OR
97347-9712
US

V. Phone/Fax

Practice location:
  • Phone: 503-983-9900
  • Fax: 503-983-9899
Mailing address:
  • Phone: 503-879-2060
  • Fax: 503-879-2071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberDO176311
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO176311
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: