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Nicholas Wavers, PCA
NPI 1184487787 · Mental Health Counselor · Portland, OR
Nicholas Wavers, PCA is a Mental Health Counselor provider in Portland, OR (NPI 1184487787).
Provider details
- NPI number
- 1184487787
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- PCA
- Sex
- Male
- Sole proprietor
- Yes
- License
- R8909 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11740 Sw 68th Pkwy Ste 200
Portland, OR 97223-9058
Phone: (425) 477-4216
Street-level locationGet directions
Mailing address
980 Ne Orenco Station Loop Apt 621
Hillsboro, OR 97124-4503
Registry dates
- Enumerated
- 2024-02-05
- Last updated
- 2024-03-13
- Certified
- 2024-03-13
Frequently asked questions
- What is Nicholas Wavers's NPI number?
- Nicholas Wavers's National Provider Identifier (NPI) is 1184487787, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Wavers's specialty?
- Nicholas Wavers is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Nicholas Wavers located?
- Nicholas Wavers's practice location on file with NPPES is 11740 Sw 68th Pkwy Ste 200, Portland, OR 97223-9058.
- What is Nicholas Wavers's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Wavers is (425) 477-4216.
- Is Nicholas Wavers's NPI active?
- Yes — Nicholas Wavers's NPI (1184487787) is active in the NPPES registry as of the last update on 2024-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.