Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Wyatt Fernelius, QMHA

Individual provider Counselor · NPI 1982127874

Wyatt Fernelius, QMHA is a Counselor in Portland, Oregon. Registered with an NPI since 2017.

In the registry since
2017
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Practice location Address checks out

2640 NW Alexandra Ave
Portland, OR 97210-1289
Phone: (503) 731-3978
Fax: (503) 239-1252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1982127874
Entity typeIndividual (Type 1)
GenderMale
Credentials QMHA
Sole proprietorNo
NPI enumeratedJuly 21, 2017
Last updated in NPPESJuly 21, 2017

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