IndividualActive
Michael De La Mater, PSS
NPI 1972288298 · Peer Specialist · Madras, OR
Provider details
- NPI number
- 1972288298
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- PSS
- Sex
- Male
- Sole proprietor
- No
- License
- THW000104906 (OR)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
850 Se 4th St
Madras, OR 97741-9629
Phone: (541) 475-6575
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1710
Redmond, OR 97756-0516
Registry dates
- Enumerated
- 2023-06-15
- Last updated
- 2023-06-15
- Certified
- 2023-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.