person
Vincent Wallulatum
Mental Health Counselor in Beaverton, Oregon
NPI 1588161780

Vincent Wallulatum is a Mental Health Counselor based in Beaverton, OR and is specialized in Mental Health. Vincent Wallulatum practices in Beaverton, OR. The NPI Number for Vincent Wallulatum is 1588161780 and holds a License No. (Oregon).

The current practice location address for Vincent Wallulatum is 14355 Sw Allen Blvd Ste 150, Beaverton, OR and can be reached out via phone at 503-828-3402 and via fax at 503-828-3401.

Location: 14355 Sw Allen Blvd Ste 150, Beaverton, OR, 97005-4741
person
Provider Profile Details
NPI Number
1588161780
Provider Name
Vincent Wallulatum
Credential
Provider Entity Type
Individual
Gender
Male
Address
14355 Sw Allen Blvd Ste 150, Beaverton, OR, 97005-4741
Phone Number
503-828-3402
Fax Number
503-828-3401
Provider Enumeration Date
04/12/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14355 Sw Allen Blvd Ste 150
City
State
Zip
97005-4741
Phone Number
503-828-3402
Fax Number
503-828-3401
person
Provider Business Mailing Address Details
Address
14355 Sw Allen Blvd Ste 150
City
State
Zip
97005-4741
Phone Number
503-828-3402
Fax Number
503-828-3401
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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