Active NPI
Michele Marie Hall, O.D.
- Optometrist
- Portland, OR
National Provider Identifier
1588768501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2744T
- Practice address
- 12100 SE Stevens CT
Ste 106
Portland, OR 97266-8707 - Phone
- (503) 653-1442
- NPI assigned
- Sep 11, 2006
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2744T | OR | Primary |
| Optometrist | 152W00000X | OD00003522 | WA |
Addresses
Primary practice location
12100 SE Stevens CT
Ste 106
Portland, OR 97266-8707
Mailing address
12100 SE Stevens CT
Ste 106
Portland, OR 97086-4707
Other names 1
- Ms. Michele Marie Orr
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2744T | OR | MD | Optometrist |
| OD00003522 | WA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1588768501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12100 SE STEVENS CT",
"address_2": "STE 106",
"city": "PORTLAND",
"state": "OR",
"postal_code": "970864707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12100 SE STEVENS CT",
"address_2": "STE 106",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972668707",
"telephone_number": "503-653-1442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "MICHELE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-11",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "2744T",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD00003522",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELE",
"last_name": "ORR",
"middle_name": "MARIE",
"prefix": "MS.",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.