Provider Demographics
NPI:1780996256
Name:POHL, MICHAEL JOSEPH (BA)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:JOSEPH
Last Name:POHL
Suffix:
Gender:M
Credentials:BA
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Mailing Address - Street 1:14603 SE WOODLAND WAY
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97267-1339
Mailing Address - Country:US
Mailing Address - Phone:541-231-2655
Mailing Address - Fax:503-239-8429
Practice Address - Street 1:14603 SE WOODLAND WAY
Practice Address - Street 2:
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97267-1339
Practice Address - Country:US
Practice Address - Phone:541-231-2655
Practice Address - Fax:503-239-8429
Is Sole Proprietor?:No
Enumeration Date:2010-07-13
Last Update Date:2010-07-13
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)