MR. MICHAEL JOSEPH WANAMAKER OT/LP
NPI 1417880618
Counselor - Mental Health in Redmond, OR
Active since June 05, 2026
About Mr. Michael Joseph Wanamaker Ot/lp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MICHAEL JOSEPH WANAMAKER OT/LP (NPI 1417880618) is an individual mental health provider in Redmond, Oregon and active in the NPI registry since June 2026.
NPPES Registry Identity
NPI1417880618
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. MICHAEL JOSEPH WANAMAKERCredential: OT/LP
Location Address6396 SW MCVEY AVERedmond, OR 97756-9069
Mailing Address996 Nw Oak AveRedmond, OR 97756-1380 · (541) 580-7500
Phone(541) 389-1848
Sole ProprietorYes
Enumeration DateJune 5, 2026
NPPES CertifiedJune 5, 2026
✔ NPI 1417880618 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
6396 SW MCVEY AVE, Redmond, OR 97756
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417880618, enumerated as an "individual" on June 05, 2026.
The provider is located at 6396 SW MCVEY AVE REDMOND, OR 97756 and the phone number is (541) 389-1848.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
