Individual
MICHAEL PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 882, PENDLETON, OR 97801-0882
(541) 304-2372
Mailing address
PO BOX 882, PENDLETON, OR 97801-0882
(541) 304-2372
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-25-5057
OR
175T00000X
Peer Specialist
Primary
22-CRM-1095
OR
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
01/26/2026
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