Individual provider · Type 1 NPI

Michael Joseph Wanamaker, OT/LP

Mental Health Counselor · Redmond, OR

NPI number 1417880618 Active

Practice location

6396 SW Mcvey Ave
Redmond, OR 97756-9069

Mailing address

996 NW Oak Ave
Redmond, OR 97756-1380

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1417880618

Michael Joseph Wanamaker, OT/LP's National Provider Identifier is 1417880618, issued on Jun 5, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Redmond, OR. The record was last updated on Jun 5, 2026.