Mr. Michael Dean Wade
Pastoral Counselor
343 W Powell Blvd
Gresham
, Oregon 97030-7050
Mr. Michael Dean Wade
Pastoral Counselor
343 W Powell Blvd
Gresham
, Oregon 97030-7050
(503) 667-9072
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About
Features
Specialties
- Pastoral Counselor
Languages spoken
- English
Location
First Address
- Mr. Michael Dean Wade
- 343 W Powell Blvd
- Gresham, OR
- Zip : 97030-7050
- Fax : (503) 667-9072
- Phone : (503) 666-9171
Second Address
- Mr. Michael Dean Wade
- 343 W Powell Blvd
- Gresham, OR
- Zip : 97030-7050
- Fax : (503) 667-9072
- Phone : (503) 666-9171
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP1600X | Pastoral Counselor |
National Provider Identifier
| NPI | 1215076476 |
|---|---|
| Provider Name | Mr. Michael Dean Wade |
| First Address | Gresham, OR 97030-7050 |
| Second Address | Gresham, OR 97030-7050 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/02/2007 |
| Last Update Date | 21/04/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.