Individual ProviderMichelle TolleFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address506 4th St, La Grande, OR 97850-1906(541) 663-3138PECOS EnrollmentBased on the most recent information from CMS, provider Michelle Tolle is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1063867661Provider TypeIndividualFull NameTolle, MichelleTitleDr.CredentialD.O.GenderFemaleSole ProprietorNoEnumeration Date5/2/2016Last Updated1/27/2020Contact InformationPractice LocationPractice Address506 4th St, La Grande, OR 97850-1906Phone(541) 663-3138Fax(541) 975-5120Mailing LocationMailing Address506 4th St, La Grande, OR 97850-1906Phone(541) 663-3138Fax(541) 975-5120Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseOS020236Pennsylvania