Individual provider · Type 1 NPI

Michael Park

Mental Health Counselor · Portland, OR

NPI number 1912353061 Active

Practice location

1411 SW Morrison St Ste 310
Portland, OR 97205-1945

Call (503) 352-2400 Map

Mailing address

2325 N Rosa Parks Way
Portland, OR 97217-4945

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X177619025 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1912353061

Michael Park's National Provider Identifier is 1912353061, issued on May 9, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Sep 8, 2016.