Individual
MR. WADE AUSTIN PADGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, QMHP
Contact information
Practice address
2130 SW 5TH AVE STE 210, PORTLAND, OR 97201-4938
(503) 239-5952
Mailing address
904 SE NEHALEM ST, PORTLAND, OR 97202-6516
(503) 502-5344
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
372600000X
Adult Companion
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YM00000X
ADULT COMPANION
OR
01
—
1104972009
COUNSELOR III
OR
Enumeration date
01/25/2007
Last updated
09/11/2025
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