MICHELLE PARK NPI 1114579083

NPI Information

  • NPI: 1114579083
  • Provider Name: MICHELLE PARK
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 2730 SW PACIFIC BOULEVARD
    ALBANY, OR
    ZIP 97321
  • Phone: (541) 967-3866

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NPI Details

Michelle Park is a mental health counselor in Albany, OR. Michelle Park NPI is 1114579083. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2730 SW PACIFIC BOULEVARD
ALBANY, OR
ZIP 97321
Phone: (541) 967-3866

The enumeration date for this NPI number is 7/11/2019 and was last updated on 7/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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