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MICHAEL LAWRENCE WILSON M.A.
NPI 1639560576
Counselor in Portland, OR

Active since February 13, 2015
709 NW EVERETT ST, PORTLAND, OR 97209(503) 226-4060(503) 445-4913 Get Directions Write a Review

NPPES record last updated: February 18, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Michael Lawrence Wilson M.a. NPPES

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

MICHAEL LAWRENCE WILSON M.A. (NPI 1639560576) is an individual counselor in Portland, Oregon, licensed in Oregon (L6028) and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1639560576
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMICHAEL LAWRENCE WILSONCredential: M.A.
Location Address709 NW EVERETT STPortland, OR 97209-3517
Mailing Address232 Nw 6th AvePortland, OR 97209-3609 · (503) 294-1681 · Fax (503) 294-4321
Phone(503) 226-4060
Fax(503) 445-4913
Sole ProprietorNo
Enumeration DateFebruary 13, 2015
Last NPPES UpdateFebruary 18, 2015
✔ NPI 1639560576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OR · L6028
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License L6028 (OR)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License L6028 (OR)
709 NW EVERETT ST, Portland, OR 97209
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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.

JAMMIE TRIMBLE QMHA
Case Manager/Care Coordinator
709 NW EVERETT ST
PORTLAND, OR 97209
Multnomah County (503) 226-4060
JUSTIN ELLIOT ANDERSON M.A.
Counselor (Mental Health)
709 NW EVERETT ST
PORTLAND, OR 97209
Multnomah County (503) 226-4060
ERVIN HESTER
Peer Specialist
709 NW EVERETT ST
PORTLAND, OR 97209
Multnomah County (503) 226-4060
CANDIA ELLIOTT CADC II
Counselor (Addiction (Substance Use Disorder))
709 NW EVERETT ST
PORTLAND, OR 97209
Multnomah County (503) 266-4060
LANETTA GARNER
Counselor (Addiction (Substance Use Disorder))
709 NW EVERETT ST
PORTLAND, OR 97209
Multnomah County (503) 294-1681
MARK HERRIN
Case Manager/Care Coordinator
709 NW EVERETT ST
PORTLAND, OR 97209
Multnomah County (503) 226-4060
JAY FREEMAN
Counselor (Addiction (Substance Use Disorder))
709 NW EVERETT ST
PORTLAND, OR 97209
Multnomah County (971) 352-8745
BRANDON PAUL WOMACK-MEYER B.S., CADC I, QHMA
Counselor (Addiction (Substance Use Disorder))
709 NW EVERETT ST
PORTLAND, OR 97209
Multnomah County (503) 226-4060

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 Wilson's NPI number?

The NPI number for Michael Wilson is 1639560576. It was assigned to this individual provider in the NPPES registry on February 13, 2015.

Where is Michael Wilson located?

Michael Wilson practices at 709 NW Everett St, Portland, OR 97209. The listed phone number is (503) 226-4060.

What is Michael Wilson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Michael Wilson was last updated on February 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.