MICHAEL WALL
NPI 1033042023
Peer Specialist in Bend, OR

Active since June 08, 2026
401 NE BURNSIDE AVE, BEND, OR 97701(541) 797-0098 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael Wall NPPES

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

MICHAEL WALL (NPI 1033042023) is an individual peer specialist in Bend, Oregon, licensed in Oregon (26-CRM-5444) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1033042023
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMICHAEL WALL
Location Address401 NE BURNSIDE AVEBend, OR 97701-5122
Mailing Address18600 Se Mcloughlin BlvdMilwaukie, OR 97267-6723 · (503) 946-3267
Sole ProprietorNo
Enumeration DateJune 8, 2026
NPPES CertifiedJune 8, 2026
NPI 1033042023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in OR · 26-CRM-5444
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

401 NE BURNSIDE AVE, Bend, OR 97701

Other Providers at the Same Location NPPES 5

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

Counselor (Addiction (Substance Use Disorder))
401 NE BURNSIDE AVE
BEND, OR 97701
Peer Specialist
401 NE BURNSIDE AVE
BEND, OR 97701
Peer Specialist
401 NE BURNSIDE AVE
BEND, OR 97701
Peer Specialist
401 NE BURNSIDE AVE
BEND, OR 97701
Counselor (Addiction (Substance Use Disorder))
401 NE BURNSIDE AVE
BEND, OR 97701

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 Michael Wall's NPI number?

The NPI number for Michael Wall is 1033042023. It was assigned to this individual provider in the NPPES registry on June 8, 2026.

Where is Michael Wall located?

Michael Wall practices at 401 NE Burnside Ave, Bend, OR 97701. The listed phone number is (541) 797-0098.

What is Michael Wall's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Michael Wall was last updated on June 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.