WYMAN MACON
NPI 1053060772
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since March 21, 2022
605 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97214(503) 231-7480 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wyman Macon NPPES

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

WYMAN MACON (NPI 1053060772) is an individual addiction (substance use disorder) provider in Portland, Oregon and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1053060772
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameWYMAN MACON
Location Address605 SE CESAR E CHAVEZ BLVDPortland, OR 97214-3216
Mailing Address605 Se Cesar E Chavez BlvdPortland, OR 97214-3216 · (503) 231-7480
Sole ProprietorNo
Enumeration DateMarch 21, 2022
Last NPPES UpdateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
NPI 1053060772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedPeer SpecialistTaxonomy 175T00000X
605 SE CESAR E CHAVEZ BLVD, Portland, OR 97214

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.

Counselor (Professional)
605 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97214
Counselor (Mental Health)
605 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97214
Counselor
605 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97214
Case Manager/Care Coordinator
605 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97214
Counselor
605 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97214
Counselor (Mental Health)
605 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97214
Peer Specialist
605 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97214
Case Manager/Care Coordinator
605 SE CESAR E CHAVEZ BLVD
PORTLAND, OR 97214

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 Wyman Macon's NPI number?

The NPI number for Wyman Macon is 1053060772. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Where is Wyman Macon located?

Wyman Macon practices at 605 SE Cesar E Chavez Blvd, Portland, OR 97214. The listed phone number is (503) 231-7480.

What is Wyman Macon'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 Wyman Macon was last updated on November 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.