Provider Demographics
NPI:1346038437
Name:HESLA, MICHELLE A (MRT)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:A
Last Name:HESLA
Suffix:
Gender:
Credentials:MRT
Other - Prefix:
Other - First Name:CHELLE
Other - Middle Name:
Other - Last Name:HESLA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:30 NE MARTIN LUTHER KING BLVD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-2941
Mailing Address - Country:US
Mailing Address - Phone:971-230-7649
Mailing Address - Fax:971-407-2431
Practice Address - Street 1:30 NE MARTIN LUTHER KING BLVD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-2941
Practice Address - Country:US
Practice Address - Phone:971-230-7649
Practice Address - Fax:971-407-2431
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health Information