| Dr Audrey Michelle Mikkelson, DMD, MSD | |
|
5415 Sw Westgate Dr Ste 207, Portland, OR 97221-2429 | |
| (503) 292-9274 | |
| Not Available |
| Full Name | Dr Audrey Michelle Mikkelson |
|---|---|
| Gender | Female |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5415 Sw Westgate Dr Ste 207, Portland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912394578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DE61168847 (Washington) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | D10484 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Audrey Michelle Mikkelson, DMD, MSD 5415 Sw Westgate Dr Ste 207, Portland, OR 97221-2429 Ph: (503) 292-9274 | Dr Audrey Michelle Mikkelson, DMD, MSD 5415 Sw Westgate Dr Ste 207, Portland, OR 97221-2429 Ph: (503) 292-9274 |
Esther Jihae Lee, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5308 Se 52nd Ave, Portland, OR 97206 Phone: 503-775-4000 | |
Dr. Elizabeth Freda Schuler, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 202 Ne 181st Ave Ste C, Portland, OR 97230 Phone: 503-912-0443 | |
Dr. Octavia S Lively, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Us Vetrn Hosp Rd, Portland, OR 97239 Phone: 503-220-8262 | |
Michelle R Lawrence, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3671 Sw River Pkwy, Portland, OR 97239 Phone: 503-841-5658 Fax: 503-384-2953 | |
Albert Vinh Khiem Ngo, Dentist Medicare: Medicare Enrolled Practice Location: 4104 Se 82nd Ave Ste 450, Portland, OR 97266 Phone: 562-852-3113 | |
Dr. Esha Mukherjee, MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2730 S Moody Ave, Portland, OR 97201 Phone: 502-531-3763 | |
Dr. Larry Robert Franz, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 12135 Se Foster Rd, Portland, OR 97266 Phone: 503-760-7610 Fax: 503-760-7896 |