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

Michael Lawrence Wilson, MA

Individual provider Clinical Social Worker · NPI 1639560576

Michael Lawrence Wilson, MA is a Clinical Social Worker in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2015.

Licensed in
OR
In the registry since
2015
Specialties on file
3
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

709 NW Everett St
Portland, OR 97209-3517
Phone: (503) 226-4060
Fax: (503) 445-4913
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence L6028 (OR)
Clinical Social Worker Taxonomy 1041C0700X · Licence L6028 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence L6028 (OR)

Record details

NPI number1639560576
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorNo
NPI enumeratedFebruary 13, 2015
Last updated in NPPESFebruary 18, 2015

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