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MR. MICHAEL JOSEPH DICKENS II
NPI 1194571380
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since April 29, 2024PECOS Enrolled
LEGACY GOOD SAMARITAN MEDICAL CENTER- GME 1015 NW 22ND, PORTLAND, OR 97210(503) 413-7711(503) 413-6892 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2026, Apr 29, 2024 (2 updates tracked since 2024).

About Mr. Michael Joseph Dickens Ii NPPES

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

MR. MICHAEL JOSEPH DICKENS II (NPI 1194571380) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194571380
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. MICHAEL JOSEPH DICKENS II
Location AddressLEGACY GOOD SAMARITAN MEDICAL CENTER- GME 1015 NW 22NDPortland, OR 97210
Mailing AddressLegacy Good Samaritan Medical Center Gme 1015 Nw 22ndPortland, OR 97210 · (503) 413-7711 · Fax (503) 413-6892
Phone(503) 413-7711
Fax(503) 413-6892
Sole ProprietorNo
Enumeration DateApril 29, 2024
Last NPPES UpdateApril 30, 20262 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
✔ NPI 1194571380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
LEGACY GOOD SAMARITAN MEDICAL CENTER- GME 1015 NW 22ND, Portland, OR 97210
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Michael Joseph Dickens Ii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

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

SKYLER ALLAN MUCHMORE
Student in an Organized Health Care Education/Training Program
LEGACY GOOD SAMARITAN MEDICAL CENTER- GME 1015 NW 22ND
PORTLAND, OR 97210
Multnomah County (503) 413-7711
MR. BRADLEY ALLAN MAHONEY DO
Student in an Organized Health Care Education/Training Program
LEGACY GOOD SAMARITAN MEDICAL CENTER- GME 1015 NW 22ND
PORTLAND, OR 97210
Multnomah County (503) 413-7711
OJAS CHINCHWADKAR MD
Student in an Organized Health Care Education/Training Program
LEGACY GOOD SAMARITAN MEDICAL CENTER- GME 1015 NW 22ND
PORTLAND, OR 97210
Multnomah County (503) 413-7711

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 Dickens's NPI number?

The NPI number for Michael Dickens is 1194571380. It was assigned to this individual provider in the NPPES registry on April 29, 2024.

Where is Michael Dickens located?

Michael Dickens practices at Legacy Good Samaritan Medical Center- Gme 1015 NW 22nd, Portland, OR 97210. The listed phone number is (503) 413-7711.

What is Michael Dickens's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Michael Dickens enrolled in Medicare?

Yes. Michael Dickens is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Dickens was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.