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NPI Code Detail

MEDICARE: DR. MICHELLE ALLENE ADKINS-HEPLER PSYD

MEDICARE: DR. MICHELLE ALLENE ADKINS-HEPLER PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist1739OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205016359
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELLE ALLENE ADKINS-HEPLER PSYD
Provider Business Mailing Address
First Line : 205 SE SPOKANE ST
Second Line : STE 300
City : PORTLAND
State : OR
Zip : 97202-6487
Country : US
Telephone Number : 503-720-3651
Fax Number : 503-635-8710
Provider Business Practice Location Address
First Line : 205 SE SPOKANE ST
Second Line : STE 300
City : PORTLAND
State : OR
Zip : 97202-6487
Country : US
Telephone Number : 503-720-3651
Fax Number : 503-635-8710
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2007
Last Update Date : 04/21/2025

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