person
Mandi Danielle Wallace
Student in an Organized Health Care Education/Training Program in Portland, Oregon
NPI 1992367916

Mandi Danielle Wallace is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Mandi Danielle Wallace practices in Portland, OR. The NPI Number for Mandi Danielle Wallace is 1992367916 and holds a License No. (Oregon).

The current practice location address for Mandi Danielle Wallace is 32 Ne 11Th Ave, Portland, OR and can be reached out via phone at 503-542-7635.

Location: 32 Ne 11Th Ave, Portland, OR, 97232-3001
person
Provider Profile Details
NPI Number
1992367916
Provider Name
Mandi Danielle Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
32 Ne 11Th Ave, Portland, OR, 97232-3001
Phone Number
503-542-7635
Fax Number
Provider Enumeration Date
06/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
32 Ne 11Th Ave
City
State
Zip
97232-3001
Phone Number
503-542-7635
Fax Number
person
Provider Business Mailing Address Details
Address
32 Ne 11Th Ave
City
State
Zip
97232-3001
Phone Number
503-542-7635
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...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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