Michael Lawrence Wilson, MA is a
Counselor based in Portland, Oregon. Michael Lawrence Wilson is licensed to practice in Oregon (license number L6028) and his current practice location is
709 Nw Everett St, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 226-4060.
NPI number for Michael Lawrence Wilson is 1639560576 and his current mailing address is 232 Nw 6th Ave, Portland, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639560576.
Healthcare Provider's Profile
Full Name | Michael Lawrence Wilson |
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Gender | Male |
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Speciality | Counselor |
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Location | 709 Nw Everett St, Portland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639560576
- Provider Enumeration Date: 02/13/2015
- Last Update Date: 02/18/2015
Medical Identifiers
Medical identifiers for Michael Lawrence Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639560576 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | L6028 (Oregon) | Secondary |
101Y00000X | Counselor | L6028 (Oregon) | Primary |
101YM0800X | Counselor - Mental Health | L6028 (Oregon) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Lawrence Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michael Lawrence Wilson, MA 232 Nw 6th Ave, Portland, OR 97209-3609 Ph: (503) 294-1681 | Michael Lawrence Wilson, MA 709 Nw Everett St, Portland, OR 97209-3517 Ph: (503) 226-4060 |
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