MEDICARE: MICHELLE DEE PIES D.O.

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
1	208M00000X	Hospitalist Physician	DO176311	OR
2	207Q00000X	Family Medicine Physician	DO176311	OR

Other Identifiers

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

General Provider Information

NPI Number	:	1700224516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE DEE PIES D.O.

Provider Business Mailing Address
First Line	:	9605 GRAND RONDE RD
Second Line	:
City	:	GRAND RONDE
State	:	OR
Zip	:	97347-9712
Country	:	US
Telephone Number	:	503-879-2060
Fax Number	:	503-879-2071

Provider Business Practice Location Address
First Line	:	1011 COMMERCIAL ST NE
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97301-1049
Country	:	US
Telephone Number	:	503-983-9900
Fax Number	:	503-983-9899

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2013
Last Update Date	:	06/09/2026

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Directions to “ MICHELLE DEE PIES D.O.” Practice Location

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