MICHAEL FETTERS CADC-R
NPI 1912738501
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since August 13, 2024
6200 SE KING RD, PORTLAND, OR 97222(503) 546-6377 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Fetters Cadc-r NPPES

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

MICHAEL FETTERS CADC-R (NPI 1912738501) is an individual addiction (substance use disorder) provider in Portland, Oregon and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1912738501
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMICHAEL FETTERSCredential: CADC-R
Location Address6200 SE KING RDPortland, OR 97222-2891
Mailing Address6200 Se King RdPortland, OR 97222-2891
Sole ProprietorNo
Enumeration DateAugust 13, 2024
NPPES CertifiedAugust 13, 2024
NPI 1912738501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
6200 SE KING RD, Portland, OR 97222

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.

Social Worker (Clinical)
6200 SE KING RD
PORTLAND, OR 97222
Counselor (Addiction (Substance Use Disorder))
6200 SE KING RD
PORTLAND, OR 97222
Peer Specialist
6200 SE KING RD
PORTLAND, OR 97222
Peer Specialist
6200 SE KING RD
PORTLAND, OR 97222
Counselor (Addiction (Substance Use Disorder))
6200 SE KING RD
PORTLAND, OR 97222
Peer Specialist
6200 SE KING RD
PORTLAND, OR 97222
Counselor (Mental Health)
6200 SE KING RD
PORTLAND, OR 97222
Peer Specialist
6200 SE KING RD
PORTLAND, OR 97222

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 Fetters's NPI number?

The NPI number for Michael Fetters is 1912738501. It was assigned to this individual provider in the NPPES registry on August 13, 2024.

Where is Michael Fetters located?

Michael Fetters practices at 6200 SE King Rd, Portland, OR 97222. The listed phone number is (503) 546-6377.

What is Michael Fetters'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 Michael Fetters was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.