MARK WALLACE HONEYWELL SUMMIT

PORTLAND, OR
NPI1245864552
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  2534)
Enumeration Date2020-02-25
Last Update Date2020-02-25
Business Address
MARK WALLACE HONEYWELL SUMMIT LCSW
637 N FARRAGUT ST
PORTLAND, OR 97217-1473
Phone number: 503-715-6298
Mailing Address
MARK WALLACE HONEYWELL SUMMIT LCSW
637 N FARRAGUT ST
PORTLAND, OR 97217-1473
Phone number: 503-715-6298
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