Active NPI
Michelle Angelique Romero Sublett, MD
- Family Medicine Physician
- Clackamas, OR
National Provider Identifier
1700588043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD228064
- Practice address
- 9900 SE Sunnyside Rd
Clackamas, OR 97015-9777 - Phone
- (800) 813-2000
- NPI assigned
- Mar 20, 2023
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD228064 | OR | Primary |
| Family Medicine Physician | 207Q00000X | MD.MD.70086513 | WA |
Addresses
Primary practice location
9900 SE Sunnyside Rd
Clackamas, OR 97015-9777
Mailing address
500 NE Multnomah St Ste 100
Portland, OR 97232-2031
Phone (800) 813-2000
Other practice location 1
701 W 5th St
Odessa, TX 79763-4206
Phone (432) 703-5238
Other names 1
- Michelle Angelique Ruivivar Romero
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230708000297 | TX | Order and Referring Only - Family Practice | 3577922533 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1700588043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 NE MULTNOMAH ST STE 100",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322031",
"telephone_number": "800-813-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 SE SUNNYSIDE RD",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970159777",
"telephone_number": "800-813-2000"
}
],
"practiceLocations": [
{
"address_1": "701 W 5th St",
"address_purpose": "LOCATION",
"city": "Odessa",
"state": "TX",
"postal_code": "797634206",
"country_code": "US",
"telephone_number": "432-703-5238",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUBLETT",
"first_name": "MICHELLE ANGELIQUE",
"middle_name": "ROMERO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-20",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD228064",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD.MD.70086513",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE ANGELIQUE",
"last_name": "ROMERO",
"middle_name": "RUIVIVAR",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.