Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Michelle Meilanie Harsono, PA-C

Individual provider Physician Assistant · NPI 1689966806

MS. Michelle Meilanie Harsono, PA-C is a Physician Assistant in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2011.

Licensed in
OR
In the registry since
2011
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

501 N Graham St Ste 420
Portland, OR 97227-1654
Phone: (503) 288-7303
Fax: (503) 288-3806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA155408 (OR)
Physician Assistant Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA155408 (OR)

Record details

NPI number1689966806
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 5, 2011
Last updated in NPPESOctober 5, 2015

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