Waller Wholistic Wellness & Consulting
Waller Wholistic Wellness & Consulting is a Clinical Social Worker in Portland, Oregon. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
4110 NE 122nd Ave Ste 110Portland, OR 97230-1359
Phone: (503) 832-0792
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1861338303 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Waller — Social Worker · (503) 544-7058 |
| NPI enumerated | April 27, 2026 |
| Last updated in NPPES | April 27, 2026 |
| Certification date | April 27, 2026 |
| Mailing address | 15667 Se Rainier Ave, Clackamas, OR 97015-9423 |
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