Active NPI
Michelle Carmen Fisher
- Case Manager/Care Coordinator
- Portland, OR
National Provider Identifier
1538097639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 26-QMHA-R-8403
- Practice address
- 2923 NE Broadway St
Portland, OR 97232-1760 - Phone
- (503) 208-5566
- NPI assigned
- May 11, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 26-QMHA-R-8403 | OR | Primary |
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
2923 NE Broadway St
Portland, OR 97232-1760
Mailing address
2923 NE Broadway St
Portland, OR 97232-1760
Phone (503) 208-5566
Other practice location 1
880 82nd Dr
Gladstone, OR 97027-1803
Phone (971) 378-0367
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26-QMHA-R-8403 | OR | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1538097639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2923 NE BROADWAY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321760",
"telephone_number": "503-208-5566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2923 NE BROADWAY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321760",
"telephone_number": "503-208-5566"
}
],
"practiceLocations": [
{
"address_1": "880 82nd Dr",
"address_purpose": "LOCATION",
"city": "Gladstone",
"state": "OR",
"postal_code": "970271803",
"country_code": "US",
"telephone_number": "971-378-0367",
"fax_number": "503-974-9679",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FISHER",
"first_name": "MICHELLE",
"middle_name": "CARMEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-11",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OR",
"license": "26-QMHA-R-8403",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.