Vincent Wallulatum
Vincent Wallulatum is a Mental Health Counselor in Beaverton, Oregon. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
14355 SW Allen Blvd Ste 150Beaverton, OR 97005-4741
Phone: (503) 828-3402
Fax: (503) 828-3401
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1588161780 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 12, 2018 |
| Last updated in NPPES | April 12, 2018 |
| Mailing address | 14355 Sw Allen Blvd Ste 150, Beaverton, OR 97005-4741 |
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