Mr. Evan James Wallace
Mr. Evan James Wallace is a Mental Health Counselor in Gresham, Oregon. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
360 SW 6th StGresham, OR 97080-9475
Phone: (503) 726-3806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1073859351 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 14, 2012 |
| Last updated in NPPES | December 14, 2012 |
| Mailing address | 8915 Sw Center St., Tigard, OR 97223 |
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