Individual
MR. MICHAEL GLADE BINKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1817 NE 17TH AVE, SAMARITAN COUNSELING CENTER MAIN OFFICE, PORTLAND, OR 97212-4509
(503) 281-3318
(503) 281-0937
Mailing address
6811 SE MALL ST, PORTLAND, OR 97206-3573
(503) 704-0573
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
061188U3
OR
101YM0800X
Mental Health Counselor
C1884
OR
101YP2500X
Professional Counselor
C1884
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271177
—
OR
Enumeration date
08/04/2006
Last updated
09/11/2025
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