Michael Waller
Michael Waller is a Clinical Social Worker in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2025.
- Licensed in
- OR
- In the registry since
- 2025
Practice location Address checks out
4110 NE 122nd Ave Ste 110Portland, OR 97230-1359
Phone: (503) 832-0792
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence L17560 (OR) |
|---|
Record details
| NPI number | 1760360531 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 21, 2025 |
| Last updated in NPPES | May 18, 2026 |
| Certification date | May 18, 2026 |
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