IndividualActive
Michael Mulligan, LMFT
NPI 1235583063 · Marriage & Family Therapist · Portland, OR
Provider details
- NPI number
- 1235583063
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- LMFT
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Student, Health Care
Practice location
1110 Se Alder St
Portland, OR 97214-2400
Phone: (619) 736-0803
Approximate (ZIP-level) locationGet directions
Mailing address
1110 Se Alder St
Portland, OR 97214-2400
Additional practice locations (1)
- 727 Se 78th AvePortland, OR 97215-2305Phone: (619) 736-0803Fax: (619) 374-2771
Registry dates
- Enumerated
- 2016-04-18
- Last updated
- 2025-08-06
- Certified
- 2025-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.