Myles Buchanan

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R7750 Issued in OR

Practice address

6725 SE 74TH Ave
Portland, OR 97206-7237

Phone

(541) 995-0868

Fax

(503) 676-5985

NPI assigned

Nov 14, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Parrott Creek Child & Family Services

  • Community/Behavioral Health Agency
  • Oregon City, OR
  • NPI 1104253079
  NPD (past)

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1609584168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 NW YEON AVE # 64",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972101519",
            "telephone_number": "541-995-0868",
            "fax_number": "503-676-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 SE 74TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972067237",
            "telephone_number": "541-995-0868",
            "fax_number": "503-676-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "MYLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-14",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R7750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin D Buchanan, AGS, CADC I R
• Katrina Maria Buchanan, LCSW
• Kelsie Buchanan
• Kristin Buchanan
• Lindsay Buchanan, L.AC, M.AC, DIPLAC
• Pamela Suzanne Buchanan, PSY.D.
• Robyn Louise Buchanan
• Ruby Buchanan, LMT
• Kayla Bucher
• Thomas Arno Buchhammer, D.C.

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.