IndividualActive
Michael Myers, PMHNP-BC
NPI 1902441959 · Psychiatric/Mental Health Nurse Practitioner · Boring, OR
Provider details
- NPI number
- 1902441959
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP-BC
- Sex
- Male
- Sole proprietor
- No
- License
- 10015393 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
36641 Se Lusted Rd
Boring, OR 97009-9717
Phone: (541) 295-5172
Fax: (971) 362-4818
Approximate (ZIP-level) locationGet directions
Mailing address
5441 S Macadam Ave Ste N
Portland, OR 97239-3822
Registry dates
- Enumerated
- 2019-11-14
- Last updated
- 2026-02-17
- Certified
- 2026-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.