Individual
MICHAELANGELO SEIJI PARCE SAWADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSS/QMHA-R
Contact information
Practice address
703 NE HANCOCK ST, PORTLAND, OR 97212-3955
(503) 230-9875
(503) 331-3441
Mailing address
211 SE CARUTHERS ST, PORTLAND, OR 97214-4502
(503) 224-1044
(971) 260-0355
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
24-QMHA-R-5520
OR
175T00000X
Peer Specialist
Primary
112974
OR
Other
Enumeration date
01/24/2025
Last updated
02/07/2025
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