Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639791817 Individual Practitioner Male Practitioner

Michael James De Hart

Peer Specialist • Portland, OR

Professional Overview & Biography Verified Profile Summary

Michael De Hart is a registered healthcare professional specializing in Peer Specialist in Portland, OR. Practice services are available at 30 NE MLK BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

30 Ne Mlk Blvd

Portland, OR 972322941

Telephone 5032321099
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Portland, OR

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

Practicing in Portland, 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: 2020-05-11
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

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

40 Associated Practitioners
Tyler Hernandez Kadell

Case Manager/Care Coordinator

NPI 1013530609
Alicia Pasik

Counselor - Mental Health

NPI 1033717079
Carsen Othaire

Peer Specialist

NPI 1043177603
Julie Andrews

Peer Specialist

NPI 1073138004
Lauren Lykins , BSN, RN

Registered Nurse

NPI 1093514309

Bachelor of Science in Nursing, Registered Nurse

Marissa Cooper

Psychologist

NPI 1093638322

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 11, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2020

Registered at 30 NE MLK BLVD, PORTLAND, OR 972322941 (Tel: 5032321099)

📍
Updated Business Mailing Address May 11, 2020

Registered at 1230 SE MORRISON ST APT B14, PORTLAND, OR 972142434

👤
Provider Name / Credentials Updated May 11, 2020

Recorded as MICHAEL DE HART

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2020

Peer Specialist

🟢
Initial NPI Registration & Enumeration May 11, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639791817
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2020
Last Update: May 11, 2020
Sole Proprietor: No

Mailing Address

1230 Se Morrison St Apt B14

Portland, OR 972142434

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.