Michael Street, BSRN

NPI 1427726629 · on the registry since 2021

Practice

Address: 4531 Se Belmont St Ste 100
Portland, OR 97215
Phone: (541) 965-0722
Organisation at this address: Awake Together
Wild Hearts Pdx
Jon Fox, Ms, Lpc
Ivana Maclay Llc
Lightshinepdx Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 184

Registry record

Primary taxonomy: 163WC1500X
163WC1500X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-09-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon