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MS. MICHELLE MEILANIE HARSONO PA-C
NPI 1689966806
Physician Assistant - Surgical in Portland, OR

Active since May 05, 2011
501 N GRAHAM ST, SUITE 420, PORTLAND, OR 97227(503) 288-7303(503) 288-3806 Get Directions Write a Review

NPPES record last updated: October 5, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Michelle Meilanie Harsono Pa-c NPPES

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

MS. MICHELLE MEILANIE HARSONO PA-C (NPI 1689966806) is an individual surgical provider in Portland, Oregon, licensed in Oregon (PA155408) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1689966806
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. MICHELLE MEILANIE HARSONOCredential: PA-C
Location Address501 N GRAHAM ST, SUITE 420Portland, OR 97227-1654
Mailing Address847 Ne 19th Ave, Suite 300Portland, OR 97232-2684 · (503) 963-2801 · Fax (503) 963-2825
Phone(503) 288-7303
Fax(503) 288-3806
Sole ProprietorNo
Enumeration DateMay 5, 2011
Last NPPES UpdateOctober 5, 2015
✔ NPI 1689966806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in OR · PA155408
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA155408 (OR)
501 N GRAHAM ST, Portland, OR 97227
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Other Identifiers 3

Medicaid500641881OR
Medicare PINP01501040OR
Medicare PIN180745OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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.

JAMES FRANCIS DEITLE PA-C
Physician Assistant
501 N GRAHAM ST, SUITE #580
PORTLAND, OR 97227
Multnomah County (503) 528-0704
EVERGREEN PROSTHETICS AND ORTHOTICS, LLC
Prosthetic/Orthotic Supplier
501 N GRAHAM ST, STE 255
PORTLAND, OR 97227
Multnomah County (503) 288-9929
HELEN MONTIE MSN, APRN, CPNP-PC
Nurse Practitioner (Pediatrics)
501 N GRAHAM ST
PORTLAND, OR 97227
Multnomah County (503) 413-2200
DR. KARIN ANN SELVA MD
Pediatrics (Pediatric Endocrinology)
501 N GRAHAM ST, SUITE 375
PORTLAND, OR 97227
Multnomah County (503) 413-1600
SURGICAL CENTER, INC
Surgery
501 N GRAHAM ST, SUITE 555
PORTLAND, OR 97227
Multnomah County (503) 288-7535
EMANUEL CHILDREN'S DIABETES AND ENDOCRINE CENTER
Clinic/Center
501 N GRAHAM ST, SUITE 375
PORTLAND, OR 97227
Multnomah County (503) 413-1600
MRS. PATRICIA KREINBERG VROOMAN CPNP
Nurse Practitioner (Pediatrics)
501 N GRAHAM ST, SUITE 355
PORTLAND, OR 97227
Multnomah County (503) 413-2560
CYNTHIA ANN GINGALEWSKI MD
Surgery (Pediatric Surgery)
501 N GRAHAM ST, MOB 2 SUITE 300
PORTLAND, OR 97227
Multnomah County (503) 413-4300

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 Harsono's NPI number?

The NPI number for Michelle Harsono is 1689966806. It was assigned to this individual provider in the NPPES registry on May 5, 2011.

Where is Michelle Harsono located?

Michelle Harsono practices at 501 N Graham St Suite 420, Portland, OR 97227. The listed phone number is (503) 288-7303.

What is Michelle Harsono's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

What insurance does Michelle Harsono accept?

Health plans from Providence Health Plan list Michelle Harsono as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michelle Harsono was last updated on October 5, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.