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General NPI Number Information
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NPI Number | 1407713852
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Entity Type | Individual
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Provider Name | MICHAELA MCCRAY CADC-R, CRM
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Gender | Female
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 5257 NE MARTIN LUTHER KING JR BLVD STE 201
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City | PORTLAND
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State | OR
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Zip | 97211-3283
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Country | US
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Telephone | 503-954-2077
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Fax | 503-954-2077
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Provider Business Mailing Address
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Address Line | 20650 NE HALSEY ST APT 105
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City | FAIRVIEW
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State | OR
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Zip | 97024-7702
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Country | US
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Telephone | 971-347-7302
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | T-25-5558
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License Number State | OR
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