Michael Henry Lariccia, CADC I - Counselor in Portland, OR

Michael Henry Lariccia, CADC I is a Counselor - Addiction (substance Use Disorder) based in Portland, Oregon. Michael Henry Lariccia is licensed to practice in Oregon (license number 21-07-10203) and his current practice location is 17645 Nw Saint Helens Rd, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at (503) 621-1069.

NPI number for Michael Henry Lariccia is 1033611868 and his current mailing address is 1776 Sw Madison St, Portland, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033611868.

Contact Information

Michael Henry Lariccia, CADC I
17645 Nw Saint Helens Rd,
Portland, OR 97231-1729
(503) 621-1069
(503) 621-0200

Map and Direction


Healthcare Provider's Profile

Full NameMichael Henry Lariccia
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location17645 Nw Saint Helens Rd, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033611868
  • Provider Enumeration Date: 03/07/2018
  • Last Update Date: 10/05/2022

Medical Identifiers

Medical identifiers for Michael Henry Lariccia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033611868NPI-NPPES
500743606MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 21-07-10203 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Henry Lariccia is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michael Henry Lariccia, CADC I
1776 Sw Madison St,
Portland, OR 97205-1715

Ph: (503) 224-1044
Michael Henry Lariccia, CADC I
17645 Nw Saint Helens Rd,
Portland, OR 97231-1729

Ph: (503) 621-1069

Reviews and Comments


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