Michelle Shirazi, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

202204008LPN Issued in OR

Practice address

1600 Lynwood Dr
Forest Grove, OR 97116-3144

Phone

(503) 260-0374

NPI assigned

Sep 5, 2024

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

State licenses

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1902631310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 LYNWOOD DR",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971163144",
            "telephone_number": "503-260-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 LYNWOOD DR",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971163144",
            "telephone_number": "503-260-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRAZI",
        "first_name": "MICHELLE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "202204008LPN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianne Seog, DMD
• Deborah Jean Sevigny-Resetco
• Robert Lynn Seward, MD
• Alison Shapiro
• Mary Eileen Shearer, PHYSICAL THERAPIST A
• Neeru Verma Shore, O.D.
• Leah Ann Shuchter, MPH
• Amenpreet Sidhu
• Simply Natural Medicine LLC
• Balvir Singh, PHARMD

• Licensed Practical Nurse in Forest Grove, OR
• Providers in Forest Grove, OR by specialty
• Licensed Practical Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.