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Michael Wade, MS, LMT

NPI 1215076476 · on the registry since 2007 · sole proprietor

Practice

Address
343 W Powell Blvd
Gresham, OR 97030
Phone
(503) 666-9171
Fax
(503) 667-9072
Clinicians at this address
2

Registry record

Primary taxonomy
101YP1600X
101YP1600X
Also registered as
174400000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-04-21

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