Michael Dean Wade, MS, LMT

Pastoral Counselor · Gresham, OR

Individual Active NPI

NPI number 1215076476

Practice location

343 W Powell Blvd
Gresham, OR 97030-7050
Phone
(503) 666-9171
Fax
(503) 667-9072

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NPI record

NPI
1215076476
Entity type
Individual (Type 1)
Enumeration date
February 5, 2007
Last updated
April 21, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pastoral Counselor Primary 101YP1600X — —
Specialist 174400000X 7803 OR

About Michael Wade

Michael Dean Wade, MS, LMT is a healthcare provider registered in the NPI registry with the primary taxonomy Pastoral Counselor (code 101YP1600X). The practice location is 343 W Powell Blvd, Gresham, OR 97030-7050. The NPI number 1215076476 was assigned on February 5, 2007 and the record was last updated on April 21, 2009.

Michael Wade lists a license in the registry: #7803 (OR) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Dean Wade, MS, LMT?

The NPI number is 1215076476.

What is the phone number of Michael Wade?

The phone number listed for the practice location is (503) 666-9171.

Where is Michael Wade located?

343 W Powell Blvd, Gresham, OR 97030-7050.

What is the taxonomy code for Michael Wade?

The primary taxonomy code is 101YP1600X – Pastoral Counselor; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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