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Jason David Wallis, LPC
Professional Counselor in Portland, Oregon
NPI 1396913331

Jason David Wallis is a Professional Counselor based in Portland, OR and is specialized in Professional. Jason David Wallis practices in Portland, OR and has the professional credentials of LPC. The NPI Number for Jason David Wallis is 1396913331 and holds a License No. C7443 (Oregon).

The current practice location address for Jason David Wallis is 2901 E Burnside St, Portland, OR and can be reached out via phone at 503-953-0310.

Location: 2901 E Burnside St, Portland, OR, 97212-2093
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Provider Profile Details
NPI Number
1396913331
Provider Name
Jason David Wallis
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
2901 E Burnside St, Portland, OR, 97212-2093
Phone Number
503-953-0310
Fax Number
Provider Enumeration Date
02/12/2008
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
2901 E Burnside St
City
State
Zip
97214-1831
Phone Number
503-953-0310
Fax Number
person
Provider Business Mailing Address Details
Address
2901 E Burnside St
City
State
Zip
97214-1831
Phone Number
503-953-0310
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C7443 (Oregon)
Definition
Definition to come...
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