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

Mr. Nicholas B Wavers, PCA

Individual provider Mental Health Counselor · NPI 1184487787

Mr. Nicholas B Wavers, PCA is a Mental Health Counselor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2024

Practice location Address checks out

11740 SW 68th Pkwy Ste 200
Portland, OR 97223-9058
Phone: (425) 477-4216
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 R8909 (OR)

Record details

NPI number1184487787
Entity typeIndividual (Type 1)
GenderMale
Credentials PCA
Sole proprietorYes
NPI enumeratedFebruary 5, 2024
Last updated in NPPESMarch 13, 2024
Certification dateMarch 13, 2024

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