ETHAN WALLACE

HILLSBORO, OR
NPI1225531791
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Additional Taxonomies101Y00000X Counselor
Enumeration Date2018-03-12
Last Update Date2021-07-23
Business Address
ETHAN WALLACE
222 SE 8TH AVE STE 212
HILLSBORO, OR 97123-4218
Phone number: 503-352-7333
Mailing Address
ETHAN WALLACE
222 SE 8TH AVE STE 212
HILLSBORO, OR 97123-4218
Phone number:
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