MICHAEL BRAXTON QMHP NPI 1649537028

NPI Information

NPI: 1649537028
Provider Name: MICHAEL BRAXTON, QMHP
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
11042 SW 51ST AVE
PORTLAND, OR
ZIP 97219
Phone: (414) 324-5318
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Michael Braxton, QMHP is an addiction (substance use disorder) counselor in Portland, OR. Michael Braxton, QMHP NPI is 1649537028. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11042 SW 51ST AVE
PORTLAND, OR
ZIP 97219-602
Phone: (414) 324-5318
Fax: (503) 735-0912

The enumeration date for this NPI number is 4/23/2012 and was last updated on 6/21/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	3174	OREGON	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	12-R-18	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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