Individual provider · Type 1 NPI

Michael B. Evans

Clinical Social Worker · Portland, OR

NPI number 1255769477 Active

Practice location

5228 NE Hoyt St Bldg B
Portland, OR 97213-3055

Call (503) 215-6474 Map

Mailing address

4834 NE 26th Ave
Portland, OR 97211-6319

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X15-11-03 (OR)
Clinical Social Worker Primary 1041C0700XL3777 (OR)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1255769477

Michael B. Evans's National Provider Identifier is 1255769477, issued on Oct 25, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Mar 17, 2017.