person
Aisha Wallace
Mental Health Counselor in Portland, Oregon
NPI 1467580266

Aisha Wallace is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Aisha Wallace practices in Portland, OR. The NPI Number for Aisha Wallace is 1467580266 and holds a License No. (Oregon).

The current practice location address for Aisha Wallace is 521 Sw 11Th Ave, Portland, OR and can be reached out via phone at 503-224-6008.

Location: 521 Sw 11Th Ave, Portland, OR, 97218-1319
person
Provider Profile Details
NPI Number
1467580266
Provider Name
Aisha Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
521 Sw 11Th Ave, Portland, OR, 97218-1319
Phone Number
503-224-6008
Fax Number
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
521 Sw 11Th Ave
City
State
Zip
97205-2634
Phone Number
503-224-6008
Fax Number
person
Provider Business Mailing Address Details
Address
521 Sw 11Th Ave
City
State
Zip
97205-2634
Phone Number
503-224-6008
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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