Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Ivacic

Individual provider Counselor · NPI 1649692542

Michael Ivacic is a Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2014.

Licensed in
OR
In the registry since
2014
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Practice location Address checks out

3415 SE Powell Blvd
Portland, OR 97202-3371
Phone: (503) 234-9591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X (OR)

Record details

NPI number1649692542
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 10, 2014
Last updated in NPPESJanuary 10, 2014

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