MR. MICHAEL DEAN WADE


Address: 343 W Powell Blvd, Gresham, OR 97030-7050
Phone: 5036669171

MR. MICHAEL DEAN WADE (NPI# 1215076476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215076476
Entity Type Individual
Full Name MR. MICHAEL DEAN WADE
Credential MS, LMT
Practice Address 343 W Powell Blvd
Gresham
OR 97030-7050
Practice Telephone 5036669171
Practice Fax Number 5036679072
Mailing Telephone 5036669171
Mailing Fax Number 5036679072
Enumeration Date 2007-02-05
Last Update Date 2009-04-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP1600X Counselor
Specialization: Pastoral
Behavioral Health & Social Service Providers
N 174400000X Specialist 7803 OR Other Service Providers

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1639694920 Michael D Wade Respiratory Therapist, Registered 1000 W Carson St, Torrance, CA 90502-2004 2017-08-07
1417349705 Michael Wade Social Worker 5151 Monroe St, Suite 200, Toledo, OH 43623-3462 2015-02-24
1053741173 Michael Keith Wade Counselor 3431 Pershing Dr, Suite B-1, El Paso, TX 79903-2754 2013-11-27
1639483688 Michael Brent Wade Jr. Counselor 4711 Us Highway 17, Bldg C Suite 4, Fleming Island, FL 32003-8233 2010-08-02
1558517292 Michael David Wade Physician Assistant 799 E Hampden Ave, #400, Englewood, CO 80113-2700 2008-08-13

Office Location

Street Address 343 W POWELL BLVD
City GRESHAM
State OR
Zip Code 97030-7050

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558400713 Georgianna Wade Specialist 343 W Powell Blvd, Gresham, OR 97030-7050 2007-02-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174032312 Tiffany Chen Occupational Therapist 304 Ne Hood Ave., Gresham, OR 97030 2017-09-20
1225568454 Goldstar Vascular Access, Inc Home Infusion 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 2017-06-20
1861940454 Jessica Morrow Massage Therapist 1748 Nw Fairview Dr., Gresham, OR 97030 2016-09-13
1033665898 Bonita Baxter Counselor 400 Ne 7th Street, Gresham, OR 97030 2016-08-31
1710335484 Ethan William Hoccom Counselor 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 2016-06-02
1992159610 Kathleen Kline, Lmt Massage Therapist 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 2016-04-19
1215390109 The Wallace Medical Concern Nurse Practitioner 254 Nw Burnside Road, Gresham, OR 97030 2016-03-30
1932568912 Atchison Dialysis, LLC Clinic/Center 878 Nw Burnside Rd, Gresham, OR 97030 2016-02-18
1912374034 Hilary Dawn Montgomery Counselor 1326 Nw Civic Dr # 5569, Gresham, OR 97030 2015-08-24
1992171730 Melissa E Childs Massage Therapist 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 2015-08-17
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Taxonomy Information

Taxonomy Code 101YP1600X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Pastoral

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457505802 Larry Taylor Counselor 2795 Ne Cleveland Ave, Gresham, OR 97030 2008-11-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811535834 Jeremy Riddle Counselor 455 Portland Ave, Gladstone, OR 97027-2452 2019-12-20
1437624400 Rafael Reynoso Hinojosa Counselor 565 Union St Ne Ste 207, Salem, OR 97301-2418 2018-10-05
1336641190 Keith Crowner Counselor 8428 N Bliss St, Portland, OR 97203-1177 2018-03-07
1902221534 Kathleen Koens Counselor 1156 Se Holman Ave, Dallas, OR 97338-2611 2014-02-18
1346587342 Jules John Auger Counselor 833 Sw 11th Ave Ste 424, Portland, OR 97205-2118 2013-01-10
1902187206 Jon O. Nestor Counselor 1636 N Coast Hwy, Newport, OR 97365-2357 2011-08-31
1124223656 Alicia Rodriguez Marroquin Counselor 1216 Winsor Ave, North Bend, OR 97459-3643 2007-06-15
1982814448 Michael J. Avila Counselor 2652 Nw Elm Ave, Redmond, OR 97756-5526 2007-05-23
1427193259 Tamara Marie Felix Counselor 5215 Ne Elam Young Pkwy, A, Hillsboro, OR 97124-6498 2007-02-20
1932247319 Paul Eugene Darling Counselor 7528 N Charleston Ave, Portland, OR 97203-3709 2007-02-01
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Competitor

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City GRESHAM
Zip Code 97030

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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