NPI 1033042023

Michael Wall

Practitioner Peer Specialist Bend, OR

Practice location

Address: 401 NE Burnside Ave, Bend, OR 97701-5122
Phone: (541) 797-0098
Mailing address: 18600 SE McLoughlin Blvd, Milwaukie, OR 97267-6723

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 26-CRM-5444 (OR)

Other Peer Specialist providers in Oregon →

Registry record

NPI: 1033042023
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jun 2026
Record last updated: 8 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.