person
Adam Leo Wallace
Mental Health Counselor in Portland, Oregon
NPI 1790477479

Adam Leo Wallace is a Mental Health Counselor based in Medford, OR and is specialized in Mental Health. Adam Leo Wallace practices in Portland, OR. The NPI Number for Adam Leo Wallace is 1790477479 and holds a License No. (Oregon).

The current practice location address for Adam Leo Wallace is 12511 Se Raymond St, Portland, OR and can be reached out via phone at 503-761-2580 and via fax at 503-761-2584.

Location: 12511 Se Raymond St, Portland, OR, 97504-4004
person
Provider Profile Details
NPI Number
1790477479
Provider Name
Adam Leo Wallace
Credential
Provider Entity Type
Individual
Gender
Male
Address
12511 Se Raymond St, Portland, OR, 97504-4004
Phone Number
503-761-2580
Fax Number
503-761-2584
Provider Enumeration Date
05/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12511 Se Raymond St
City
State
Zip
97236-3931
Phone Number
503-761-2580
Fax Number
503-761-2584
person
Provider Business Mailing Address Details
Address
12511 Se Raymond St
City
State
Zip
97236-3931
Phone Number
503-761-2580
Fax Number
503-761-2584
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.

Similar Doctors in Portland, Oregon: