Individual provider Active NPI

Michael Joseph Myers, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Boring, OR
National Provider Identifier
1902441959
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10015393 Issued in OR
Practice address
36641 SE Lusted Rd
Boring, OR 97009-9717
Phone
(541) 295-5172
Fax
(971) 362-4818
NPI assigned
Nov 14, 2019
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10015393 OR Primary

Addresses

Primary practice location

36641 SE Lusted Rd
Boring, OR 97009-9717

Mailing address

5441 S Macadam Ave Ste N
Portland, OR 97239-3822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Health Concierge Psychiatric/Mental Health CurrentSince Jul 28, 2025 Accepting new patients
County of Clackamas Office of County Auditor CurrentSince Dec 4, 2023 Accepting new patients
Clackamas County Current Accepting new patients

Locations

110 Beavercreek Rd
Oregon City, OR 97045
Phone (503) 655-8278

2051 Kaen Rd
Ste 367
Oregon City, OR 97045
Phone (503) 742-5300

6605 SE Lake Rd
Portland, OR 97222
Phone (503) 982-9300

39740 Pleasant St
Sandy, OR 97055
Phone (503) 563-7679

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1902441959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5441 S MACADAM AVE STE N",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36641 SE LUSTED RD",
            "city": "BORING",
            "state": "OR",
            "postal_code": "970099717",
            "telephone_number": "541-295-5172",
            "fax_number": "971-362-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-14",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10015393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boring, OR

Sources for this page

Verify at the official NPI Registry.