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

Michael Wayne Wilson, QMHA

Individual provider Mental Health Counselor · NPI 1861145948

Michael Wayne Wilson, QMHA is a Mental Health Counselor in Medford, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2022

Practice location Address checks out

2932 Hillcrest Rd
Medford, OR 97504-7752
Phone: (541) 727-7669
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 21-QMHA-R-1053 (OR)

Record details

NPI number1861145948
Entity typeIndividual (Type 1)
GenderMale
Credentials QMHA
Sole proprietorYes
NPI enumeratedJanuary 30, 2022
Last updated in NPPESJanuary 30, 2022
Certification dateJanuary 30, 2022
Mailing address2932 Hillcrest Rd, Medford, OR 97504-7752

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