IndividualActive
Michael Wade, MS, LMT
NPI 1215076476 · Pastoral Counselor · Gresham, OR
Provider details
- NPI number
- 1215076476
- Entity type
- Individual
- Primary specialty
- Pastoral CounselorBehavioral Health & Social Service Providers
- Credential
- MS, LMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 7803 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Other Service Providers
Practice location
343 W Powell Blvd
Gresham, OR 97030-7050
Phone: (503) 666-9171
Fax: (503) 667-9072
Approximate (ZIP-level) locationGet directions
Mailing address
343 W Powell Blvd
Gresham, OR 97030-7050
Registry dates
- Enumerated
- 2007-02-05
- Last updated
- 2009-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.