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MR. NICHOLAS B WAVERS PCA
NPI 1184487787
Counselor - Mental Health in Portland, OR

Active since February 05, 2024
11740 SW 68TH PKWY STE 200, PORTLAND, OR 97223(425) 477-4216 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Nicholas B Wavers Pca NPPES

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

MR. NICHOLAS B WAVERS PCA (NPI 1184487787) is an individual mental health provider in Portland, Oregon, licensed in Oregon (R8909) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1184487787
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. NICHOLAS B WAVERSCredential: PCA
Location Address11740 SW 68TH PKWY STE 200Portland, OR 97223-9058
Mailing Address980 Ne Orenco Station Loop Apt 621Hillsboro, OR 97124-4503
Phone(425) 477-4216
Sole ProprietorYes
Enumeration DateFebruary 5, 2024
Last NPPES UpdateMarch 13, 2024
NPPES CertifiedMarch 13, 2024
✔ NPI 1184487787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · R8909
11740 SW 68TH PKWY STE 200, Portland, OR 97223
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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.

MS. DENA RUBY WELLINGTON MSW, LCSW
Social Worker (Clinical)
11740 SW 68TH PKWY STE 200
TIGARD, OR 97223
Washington County (503) 205-4357
SERE RACHEL SANTA ANA MFT
Marriage & Family Therapist
11740 SW 68TH PKWY STE 200
PORTLAND, OR 97223
Washington County (971) 266-1969
GISELLE REYNOSO
Social Worker (Clinical)
11740 SW 68TH PKWY STE 200
PORTLAND, OR 97223
Washington County (425) 477-4216
MICHAEL DAVID NOMINA MSW,LCSW
Social Worker (Clinical)
11740 SW 68TH PKWY STE 200
PORTLAND, OR 97223
Washington County (425) 640-7009
ANTHONY RONALD BLAIR LPCA
Counselor (Mental Health)
11740 SW 68TH PKWY STE 200
PORTLAND, OR 97223
Washington County (503) 908-4497
JONATHAN DOMINGUEZ LCSW
Counselor (Mental Health)
11740 SW 68TH PKWY STE 200
TIGARD, OR 97223
Washington County (503) 597-8393
AARON CONVILLE CADC I, LPC-A
Counselor (Mental Health)
11740 SW 68TH PKWY STE 200
PORTLAND, OR 97223
Washington County (503) 928-7264
ERIN ALEXANDRA MEADOWS MA, MSW
Social Worker (Clinical)
11740 SW 68TH PKWY STE 200
TIGARD, OR 97223
Washington County (574) 780-5928

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 Nicholas Wavers's NPI number?

The NPI number for Nicholas Wavers is 1184487787. It was assigned to this individual provider in the NPPES registry on February 5, 2024.

Where is Nicholas Wavers located?

Nicholas Wavers practices at 11740 SW 68th Pkwy Ste 200, Portland, OR 97223. The listed phone number is (425) 477-4216.

What is Nicholas Wavers's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Nicholas Wavers accept?

Health plans from Moda Health Plan, Inc. list Nicholas Wavers as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Wavers was last updated on March 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.