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

Michael Park

Individual provider Mental Health Counselor · NPI 1912353061

Michael Park is a Mental Health Counselor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2016

Practice location Address checks out

1411 SW Morrison St Ste 310
Portland, OR 97205-1945
Phone: (503) 352-2400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 177619025 (OR)

Record details

NPI number1912353061
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 9, 2016
Last updated in NPPESSeptember 8, 2016

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