Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033042023 Individual Practitioner Male Practitioner

Michael Wall

Peer Specialist • Bend, OR

Professional Overview & Biography Verified Profile Summary

Michael Wall is a registered healthcare professional specializing in Peer Specialist in Bend, OR. Practice services are available at 401 NE BURNSIDE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

401 Ne Burnside Ave

Bend, OR 977015122

Telephone 5417970098
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
168 Specialists

Practicing in Bend, OR (3408 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-08
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OR 26-CRM-5444

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Travis Cook

Peer Specialist

NPI 1497631329
Gerold Tinsley

Peer Specialist

NPI 1861172652
Lisa Farwell

Counselor - Addiction (Substance Use Disorder)

NPI 1982473849

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 08, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location June 08, 2026

Registered at 401 NE BURNSIDE AVE, BEND, OR 977015122 (Tel: 5417970098)

📍
Updated Business Mailing Address June 08, 2026

Registered at 18600 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 972676723 (Tel: 5039463267)

👤
Provider Name / Credentials Updated June 08, 2026

Recorded as MICHAEL WALL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2026

Peer Specialist (License #26-CRM-5444 in OR)

🟢
Initial NPI Registration & Enumeration June 08, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Michael Wall. Be the first to share your experience!

Sign in to leave a review for Michael Wall

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1033042023
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2026
Last Update: June 08, 2026
Sole Proprietor: No

Mailing Address

18600 Se Mcloughlin Blvd

Milwaukie, OR 972676723

Phone: 5039463267

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.