Individual provider · Type 1 NPI

Morgan Wilde

Counselor · Portland, OR

NPI number 1053255000 Active

Practice location

4800 S Macadam Ave Ste 201
Portland, OR 97239-3928

Call (971) 351-7546 Map

Mailing address

33472 SE Wildcat Mountain Dr
Eagle Creek, OR 97022-9623

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

3 other providers at this address

Other counselor providers in Portland

See all in Portland →

About NPI 1053255000

Morgan Wilde's National Provider Identifier is 1053255000, issued on Apr 17, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Apr 17, 2026.