IndividualActive
Michael Waller
NPI 1760360531 · Clinical Social Worker · Portland, OR
Michael Waller is a Clinical Social Worker provider in Portland, OR (NPI 1760360531).
Provider details
- NPI number
- 1760360531
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- L17560 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
4110 Ne 122nd Ave Ste 110
Portland, OR 97230-1359
Phone: (503) 832-0792
Street-level locationGet directions
Mailing address
501 N Dixon St
Portland, OR 97227-1804
Registry dates
- Enumerated
- 2025-08-21
- Last updated
- 2026-05-18
- Certified
- 2026-05-18
Frequently asked questions
- What is Michael Waller's NPI number?
- Michael Waller's National Provider Identifier (NPI) is 1760360531, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Waller's specialty?
- Michael Waller is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Michael Waller located?
- Michael Waller's practice location on file with NPPES is 4110 Ne 122nd Ave Ste 110, Portland, OR 97230-1359.
- What is Michael Waller's phone number?
- The practice phone number listed in the NPPES registry for Michael Waller is (503) 832-0792.
- Is Michael Waller's NPI active?
- Yes — Michael Waller's NPI (1760360531) is active in the NPPES registry as of the last update on 2026-05-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.