Michael Horsburgh, PSS, THW

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1122 NE 122ND Ave Ste A200
Portland, OR 97230-2083

Phone

(971) 997-2781

NPI assigned

Apr 12, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Mikey Horsburgh Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1568216968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2836 SE COLT DR APT 280",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972024453",
            "telephone_number": "971-997-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 NE 122ND AVE STE A200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972302083",
            "telephone_number": "971-997-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORSBURGH",
        "first_name": "MICHAEL",
        "credential": "PSS, THW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKEY",
            "last_name": "HORSBURGH",
            "credential": "PSS, THW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paul Horowitz, MD
• Sonya M Horowitz, IBCLC, CPM
• Mariah Kathleen Horrigan, LCSW
• Alina Horrocks
• Jordan B Horrocks, PA-C
• William Horsley
• Dominic Hortaleza, DMD
• Melissa Horton-Langford
• Katherine Joy Horton
• Latasha Horton, LSSW, CSWA

• Peer Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.