Wayne Martin Mallory, CADCI
Wayne Martin Mallory, CADCI is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2010.
- Licensed in
- OR
- In the registry since
- 2010
Practice location Address checks out
16000 SE Powell Blvd Unit 65Portland, OR 97236-1783
Phone: (503) 239-5738
Fax: (503) 239-8429
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 09-09-31 (OR) |
|---|
Record details
| NPI number | 1881906238 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CADCI |
| Sole proprietor | No |
| NPI enumerated | July 13, 2010 |
| Last updated in NPPES | July 13, 2010 |
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