Provider Demographics
NPI:1841466059
Name:ZIEGLER, MICHELLE A
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:A
Last Name:ZIEGLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:A
Other - Last Name:NIELSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7570 SPRINGHILL CT
Mailing Address - Street 2:
Mailing Address - City:GLADSTONE
Mailing Address - State:OR
Mailing Address - Zip Code:97027-1405
Mailing Address - Country:US
Mailing Address - Phone:503-866-0389
Mailing Address - Fax:503-656-4742
Practice Address - Street 1:7570 SPRINGHILL CT
Practice Address - Street 2:
Practice Address - City:GLADSTONE
Practice Address - State:OR
Practice Address - Zip Code:97027-1405
Practice Address - Country:US
Practice Address - Phone:503-866-0389
Practice Address - Fax:503-656-4742
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-07
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR020910231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist