EVAN JAMES WALLACE

GRESHAM, OR
NPI1073859351
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-12-14
Last Update Date2012-12-14
Business Address
Mr. EVAN JAMES WALLACE
360 SW 6TH ST
GRESHAM, OR 97080-9475
Phone number: 503-726-3806
Mailing Address
Mr. EVAN JAMES WALLACE
8915 SW CENTER ST.
TIGARD, OR 97223
Phone number: 503-726-3740
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