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

Michael Wall

Individual provider Peer Specialist · NPI 1033042023

Michael Wall is a Peer Specialist in Bend, Oregon. Licensed in Oregon. Registered with an NPI since 2026.

Licensed in
OR
In the registry since
2026

Practice location Address checks out

401 NE Burnside Ave
Bend, OR 97701-5122
Phone: (541) 797-0098
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 26-CRM-5444 (OR)

Record details

NPI number1033042023
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 8, 2026
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing address18600 Se McLoughlin Blvd, Milwaukie, OR 97267-6723

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