NICHOLAS B WAVERS

PORTLAND, OR
NPI1184487787
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  R8909)
Enumeration Date2024-02-05
Last Update Date2024-03-13
Business Address
Mr. NICHOLAS B WAVERS PCA
11740 SW 68TH PKWY STE 200
PORTLAND, OR 97223-9058
Phone number: 425-477-4216
Mailing Address
Mr. NICHOLAS B WAVERS PCA
980 NE ORENCO STATION LOOP APT 621
HILLSBORO, OR 97124-4503
Phone number: