Mike W Brockman is a Portland, Oregon based counselor who is specialized as Mental Health Counselor. Active license number of Mike W Brockman is 15-10-21 for Addiction (Substance Use Disorder) Counselor in Oregon. His current practice location is 1631 Sw Columbia St, Portland. Patients can book an appointment with him at 503-231-2641.
Mike W Brockman is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. He assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Mike W Brockman speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Mike W Brockman
Specialization:
Mental Health Counselor
Gender:
Male
Credentials:
CADC II/QMHA-I
Accepts Medicare Assignment:
No
Practice Address:
1631 Sw Columbia St, Portland, Oregon, 97201-6025
Phone:
503-231-2641
Fax:
503-231-1654
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1073641064
NPI Enumeration Date:
01 Mar, 2007
NPI Last Update On:
01 Jul, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mike W Brockman are as mentioned below.
License Number
Specialization
State
Status
15-10-21
Addiction (Substance Use Disorder) Counselor
Oregon
Primary
19-QMHA-I-01468
Mental Health Counselor
Oregon
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mike W Brockman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
500694604
Medicaid
Oregon
500777728
Medicaid
Oregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1776 Sw Madison St, Portland, Oregon
Zip:
97205-1715
Phone Number:
971-386-2278
Fax Number:
503-224-4494
Patients can reach Mike W Brockman at 1631 Sw Columbia St, Portland, Oregon or can call to book an appointment on 503-231-2641. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.