{
"Npi": {
"NPI": "1073304234",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MORRISON",
"FirstName": "MICHELLE",
"MiddleName": "CHRISTINE REED",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MA-CCC-SLP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "13878 SE TARALON DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HAPPY VALLEY",
"MailingAddressStateName": "OR",
"MailingAddressPostalCode": "97015-7714",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "408-204-4404",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "11326 SE 47TH AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MILWAUKIE",
"PracticeLocationAddressStateName": "OR",
"PracticeLocationAddressPostalCode": "97222-5459",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "503-675-4097",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/15/2025",
"LastUpdateDate": "05/15/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "235Z00000X",
"TaxonomyName": "Speech-Language Pathologist",
"LicenseNumber": "23400",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "235Z00000X",
"TaxonomyName": "Speech-Language Pathologist",
"LicenseNumber": "016488",
"LicenseNumberStateCode": "OR",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}