Individual provider · Type 1 NPI

Rex Michael

Mental Health Counselor · Portland, OR

NPI number 1043786460 Active · reactivated Mar 18, 2025

Practice location

12636 SE Stark St Bldg J
Portland, OR 97233-1058

Mailing address

2717 SE 15th Ave Lowr Unit
Portland, OR 97202-2205

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XR10483 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1043786460

Rex Michael's National Provider Identifier is 1043786460, issued on Oct 24, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Mar 20, 2025.