Blake Wallace, CSWA
Blake Wallace, CSWA is a Clinical Social Worker in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
3500 NE Martin Luther King Jr Blvd Ste 200Portland, OR 97212-2093
Phone: (503) 327-8205
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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 · Licence A15334 (OR) |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X · Licence 24-QMHP-R-2920 (OR) |
Record details
| NPI number | 1518702976 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CSWA |
| Sole proprietor | Yes |
| NPI enumerated | June 27, 2024 |
| Last updated in NPPES | July 19, 2024 |
| Certification date | July 19, 2024 |
Other providers in Portland
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Ashley Walker
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-
Gordon Vance Walker Jr., MSW, LCSW, CADC1
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William Walker Jr., LCSW
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-
Kimberly Lynn Wall, LCSW
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MS. Suzanne Kapuamailani Wallace, MSW, ASW, LCSW
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Michael Waller
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