Individual
MICHAEL JOSEPH MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
36641 SE LUSTED RD, BORING, OR 97009-9717
(541) 295-5172
(971) 362-4818
Mailing address
5441 S MACADAM AVE STE N, PORTLAND, OR 97239-3822
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10015393
OR
Other
Enumeration date
11/14/2019
Last updated
02/17/2026
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