Search › Oregon › 101YM0800X
Michael Revell, LPC
NPI 1053757880 · on the registry since 2013 · sole proprietor
Practice
- Address
- 3811 Sw Troy St
Portland, OR 97219 - Phone
- (503) 479-8605
- Fax
- (971) 339-7047
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101Y00000X
101Y00000X
101Y00000X
101Y00000X
101YM0800X
101YP2500X
101YP2500X
171M00000X - Licence states on file
- WA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon