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MICHELLE ELIZABETH PETTY
NPI 1639444169
Adult Companion in Portland, OR

Active since March 16, 2012
2330 NE SISKIYOU ST, PORTLAND, OR 97212(503) 528-0757(503) 528-0764 Get Directions Write a Review

NPPES record last updated: March 16, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michelle Elizabeth Petty NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE ELIZABETH PETTY (NPI 1639444169) is an individual adult companion provider in Portland, Oregon and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1639444169
Entity TypeIndividualFemale
Primary Taxonomy372600000X
Provider Legal NameMICHELLE ELIZABETH PETTY
Location Address2330 NE SISKIYOU STPortland, OR 97212-2471
Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769
Phone(503) 528-0757
Fax(503) 528-0764
Sole ProprietorNo
Enumeration DateMarch 16, 2012
✔ NPI 1639444169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdult CompanionNursing Service Related Providers
Taxonomy Code372600000X
Definition

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

2330 NE SISKIYOU ST, Portland, OR 97212
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ROBIN L PAISLEY RN
Registered Nurse (Psychiatric/Mental Health)
2330 NE SISKIYOU ST
PORTLAND, OR 97212
Multnomah County (503) 528-0757
FAISAL M MUTUA
Counselor (Mental Health)
2330 NE SISKIYOU ST
PORTLAND, OR 97212
Multnomah County (503) 528-0757
MR. MICHAEL THEODORE WALKER MSW, QMHP
Social Worker (Clinical)
2330 NE SISKIYOU ST
PORTLAND, OR 97212
Multnomah County (503) 528-0757
ALLISON MARIE FRASER QMHP
Counselor (Mental Health)
2330 NE SISKIYOU ST
PORTLAND, OR 97212
Multnomah County (503) 528-0757
ALEIA LAVONNE COWAN RN
Registered Nurse (Psychiatric/Mental Health)
2330 NE SISKIYOU ST
PORTLAND, OR 97212
Multnomah County (503) 528-0757
MISS AFROTHITI MARINA SPIROPOULOU CNA
Adult Companion
2330 NE SISKIYOU ST
PORTLAND, OR 97212
Multnomah County (503) 528-0757
MR. DAVID GEORGE NEZ QMHA
Case Manager/Care Coordinator
2330 NE SISKIYOU ST
PORTLAND, OR 97212
Multnomah County (503) 528-0757
DEBRA K. BRUCE QMHA, MFA
Case Manager/Care Coordinator
2330 NE SISKIYOU ST
PORTLAND, OR 97212
Multnomah County (503) 528-0757

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Petty's NPI number?

The NPI number for Michelle Petty is 1639444169. It was assigned to this individual provider in the NPPES registry on March 16, 2012.

Where is Michelle Petty located?

Michelle Petty practices at 2330 NE Siskiyou St, Portland, OR 97212. The listed phone number is (503) 528-0757.

What is Michelle Petty's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Michelle Petty was last updated on March 16, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.