Wade, Michael Dean

Wade, Michael Dean is an sole proprietor health care provider with primary practice located at 343 W Powell Blvd , Gresham OR 97030-7050. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Behavioral Health & Social Service Providers / Pastoral. Behavioral Health & Social Service Providers / Pastoral is his primary health care specialty. Wade, Michael Dean can be contacted via phone (503) 666-9171.

Contact Information

Primary practice address
343 W Powell Blvd Gresham OR 97030-7050
Phone: (503) 666-9171
Fax: (503) 667-9072
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 7803 Oregon
Behavioral Health & Social Service Providers / Pastoral 101YP1600X

Profile Details

NPI number 1215076476
LBN Legal business name Wade, Michael Dean
Credentials MS, LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2007
Last updated Apr 21st, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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