Mike W Brockman
CADC II/QMHA-I | Mental Health Counselor
1631 Sw Columbia St, Portland
Oregon, 97201-6025
503-231-2641 503-231-1654
Maps & DirectionsMike 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.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.