MICHAEL LAWRENCE WILSON


Address: 709 Nw Everett St, Portland, OR 97209-3517
Phone: 5032264060

MICHAEL LAWRENCE WILSON (NPI# 1639560576) 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) 1639560576
Entity Type Individual
Full Name MICHAEL LAWRENCE WILSON
Credential M.A.
Practice Address 709 Nw Everett St
Portland
OR 97209-3517
Mailing Address 232 Nw 6th Ave
Portland
OR 97209-3609
Practice Telephone 5032264060
Practice Fax Number 5034454913
Mailing Telephone 5032941681
Mailing Fax Number 5032944321
Enumeration Date 2015-02-13
Last Update Date 2015-02-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor L6028 OR Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
L6028 OR Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
L6028 OR Behavioral Health & Social Service Providers

Other Providers MICHAEL WILSON

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1386203537 Michael John Wilson Clinical Neuropsychologist 9301 Madison St Rm 369, Crown Point, IN 46307-7745 2019-06-11
1982268017 Michael Donavan Wilson Counselor 200 North Lewis, Waukegan, IL 60087 2019-04-24
1891201604 Michael Paul Wilson Technician/Technologist 324 Garden Rd, Springfield, PA 19064-3505 2017-12-18
1659897536 Michael Wilson Driver 1628 Bucktown Dr, Danville, VA 24543 2017-08-22
1386096501 Michael Wilson Home Health 596 North Hawkins Ave, Akron, OH 44313 2016-07-12
1164895728 Michael Wilson Counselor 3027 Pleasant Grv, Bossier City, LA 71111-5758 2015-11-04
1013384379 Michael Wilson Counselor 7110 Sw Fir Loop Ste 220, Tigard, OR 97223 2015-08-21
1467828350 Michael Wilson Social Worker 30500 Southfield Road Apt. 200, Michael Wilson, Southfield, MI 48076 2015-08-14
1356723803 Michael Wilson II Home Health Aide 348 Wilson Ave, Port Clinton, OH 43452-1740 2015-06-22
1467641399 Michael C. Wilson Developmental Therapist 820 E 38th Pl Unit 1, Chicago, IL 60653-1969 2007-10-16

Office Location

Street Address 709 NW EVERETT ST
City PORTLAND
State OR
Zip Code 97209-3517

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568516060 John Paul Kelley Case Manager/Care Coordinator 709 Nw Everett St, Portland, OR 97209-3517 2007-01-22
1861974081 Richard Owens Community Health Worker 709 Nw Everett St, Portland, OR 97209-3517 2018-09-04
1760843387 Race Hebrard Peer Specialist 709 Nw Everett St, Portland, OR 97209-3517 2016-03-09
1831575679 Central City Concern Inc Clinic/Center 709 Nw Everett St, Portland, OR 97209-3517 2015-08-04
1053693168 Jammie Trimble Case Manager/Care Coordinator 709 Nw Everett St, Portland, OR 97209-3517 2011-09-14
1194007229 Dylan Neil Fields Counselor 709 Nw Everett St, Portland, OR 97209-3517 2011-09-14
1093018459 Candia Elliott Counselor 709 Nw Everett St, Portland, OR 97209-3517 2010-12-07
1295043479 Kendra R Castaldo Counselor 709 Nw Everett St, Portland, OR 97209-3517 2010-09-21
1316254022 Shanako Devoll Counselor 709 Nw Everett St, Portland, OR 97209-3517 2010-09-02
1245541879 Alexandra Olson Case Manager/Care Coordinator 709 Nw Everett St, Portland, OR 97209-3517 2010-06-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508476250 Harrington Health Clinic Nurse Practitioner 310 Nw Glisan Street, Portland, OR 97209 2020-08-07
1619599636 Rivers Way Training Clinic Community/Behavioral Health 2049 Nw Hoyt, Portland, OR 97209 2020-05-13
1518590538 Julie Kay Igarta Registered Nurse 140 Northwest 14th Avenue, Portland, OR 97209 2020-02-18
1407492002 Oregon Injection Clinic Clinic/Center 1500 Nw Lovejoy, 106, Portland, OR 97209 2019-11-19
1487202883 Ann Tesora Massage Therapist 1320 Northwest 20th Avenue, Portland, OR 97209 2019-08-28
1972160455 Vincent Martin Massage Therapist 210 Sw 17th Avenue, Portland, OR 97209 2019-05-21
1154896546 Jennifer Marie Dodd Social Worker 1722 Nw Raleigh St Spc 412, Portland, OR 97209 2018-10-11
1922551910 Ashley Crowell Physician Assistant 949 Nw Overton St Unit 306, Portland, OR 97209 2016-07-26
1326408394 Jennifer Blain Counselor 324 Nw Davis, Portland, OR 97209 2016-03-03
1275993255 Lauren Dodson Licensed Practical Nurse 324 Nw Davis St, Portland, OR 97209 2016-03-03
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy 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.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104427160 Kristine Lee Jones Counselor 2628 Se 87th Ave, Portland, OR 97266-1530 2020-11-05
1932711322 Rachel Wilson Counselor 1020 Se 7th Ave # 14283, Portland, OR 97214-2387 2020-08-18
1851919906 Anjana Rajan Counselor Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 2020-07-06
1972124196 Outside In Counselor 16144 E Burnside St, Portland, OR 97233-3520 2020-04-28
1962022350 Nicole Blake Counselor 400 Commercial St, Portland, ME 04101-4660 2020-04-25
1912527201 Alexa Jenkins Counselor 2700 Se Stark St Apt 3, Portland, OR 97214-3499 2020-04-16
1467086629 Katelan Ruby Hostetler Counselor 13300 Ne San Rafael St, Portland, OR 97230-3123 2020-02-26
1356973770 Laura Kille Counselor Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 2020-02-05
1093346777 Sprout Therapy Pdx LLC Counselor 7704 N Hereford Ave, Portland, OR 97203-3434 2020-01-30
1861030553 Steve Bijoga Counselor 1350 Forest Ave Apt 16, Portland, ME 04103-1815 2019-12-13
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Competitor

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City PORTLAND
Zip Code 97209

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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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