Michelle Burnett, CSFA
Individual provider Active NPI Surgical Assistant · The Dalles, OR
NPI 1851999866 · NPPES record last updated Oct 12, 2020
Key facts
- NPI
- 1851999866
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Assistant 246ZC0007X
- License
- 186725 (OR)
- Practice address
- 1700 E 19TH St
The Dalles, OR 97058-3317 - Phone
- (540) 296-7235
- NPI assigned
- Oct 12, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 186725 | OR | MD | Surgical Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 186725 | OR | Yes |
Addresses
Primary practice location
1700 E 19TH St
The Dalles, OR 97058-3317
Mailing address
1700 E 19TH St
The Dalles, OR 97058-3317
Phone (541) 296-7235
Other providers in The Dalles, OR
- Krystal Marie Browne
- Joella M Bullock
- Tyler Burkart
- Alison Emily Burke
- Kristen Noel Burke
- Erin Burnham
- A. Keith Burns
- Emily Butler
- William Byers
- Nancy K Cain
All providers in The Dalles, OR · Surgical Assistant in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.