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MICHAEL HENRY LARICCIA CADC I
NPI 1033611868
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since March 07, 2018
17645 NW SAINT HELENS RD, PORTLAND, OR 97231(503) 621-1069(503) 621-0200 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 5, 2022, Jun 16, 2020, Mar 7, 2018 (3 updates tracked since 2018).

About Michael Henry Lariccia Cadc I NPPES

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

MICHAEL HENRY LARICCIA CADC I (NPI 1033611868) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (21-07-10203) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1033611868
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMICHAEL HENRY LARICCIACredential: CADC I
Location Address17645 NW SAINT HELENS RDPortland, OR 97231-1729
Mailing Address1776 Sw Madison StPortland, OR 97205-1715 · (503) 224-1044 · Fax (503) 621-2235
Phone(503) 621-1069
Fax(503) 621-0200
Sole ProprietorNo
Enumeration DateMarch 7, 2018
Last NPPES UpdateOctober 5, 20223 updates tracked since enumeration
NPPES CertifiedOctober 5, 2022
✔ NPI 1033611868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 21-07-10203
17645 NW SAINT HELENS RD, Portland, OR 97231
Open in Google Maps ↗

Other Identifiers 1

Medicaid500743606OR

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.

NATIVE AMERICAN REHABILITATION ASSOC INC
Clinic/Center (Federally Qualified Health Center (FQHC))
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069
AMBER R ESPINO-BARNES CADC II/QMHP-C
Counselor (Addiction (Substance Use Disorder))
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069
LUCY ROSE PETERSON CADC II
Counselor (Addiction (Substance Use Disorder))
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069
PAMELA MARIE SADELMYER CADC II
Counselor (Addiction (Substance Use Disorder))
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069
AMY C SMITH CADC, CRM, QMHA
Counselor (Addiction (Substance Use Disorder))
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069
VICTORIA K LABUHN RN
Registered Nurse
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069
JANUS K VANDERHOOF CADC II
Counselor (Addiction (Substance Use Disorder))
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069
INGRID A ZECKSER RN
Registered Nurse
17645 NW SAINT HELENS RD
PORTLAND, OR 97231
Multnomah County (503) 621-1069

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 Lariccia's NPI number?

The NPI number for Michael Lariccia is 1033611868. It was assigned to this individual provider in the NPPES registry on March 7, 2018.

Where is Michael Lariccia located?

Michael Lariccia practices at 17645 NW Saint Helens Rd, Portland, OR 97231. The listed phone number is (503) 621-1069.

What is Michael Lariccia's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Michael Lariccia was last updated on October 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.