Michelle Christine Raynor, PH.D

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

A2019 Issued in OR

Practice address

2015 E 12TH St
The Dalles, OR 97058-3912

Phone

(503) 679-8292

Fax

(503) 206-5910

NPI assigned

Apr 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629191572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13280 SE MEADOWPARK DR",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "972365986",
            "telephone_number": "503-679-8292",
            "fax_number": "503-206-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 E 12TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583912",
            "telephone_number": "503-679-8292",
            "fax_number": "503-206-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYNOR",
        "first_name": "MICHELLE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A2019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodie Quevedo
• Ludivina Quintanilla
• Jessica A Radley, PMHNP
• Brenden B Ramey, MD
• Joshua Rayner
• Leslie Reagan, OTR/L, CLT-LANA
• Rebecca Street Physical Therapy
• Jamie Reed
• Kylie Reed
• Melissa Leana Reger-Furler, MS

• Clinical Social Worker in The Dalles, OR
• Providers in The Dalles, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.