STACI WADE-HERNANDEZ

PORTLAND, OR
NPI1316324338
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: OR  2283)
Enumeration Date2015-04-28
Last Update Date2016-03-14
Business Address
-- STACI WADE-HERNANDEZ Psy.D.
5000 N WILLAMETTE BLVD MSC 147
PORTLAND, OR 97203-5743
Phone number: 541-737-2131
Mailing Address
-- STACI WADE-HERNANDEZ Psy.D.
5000 N WILLAMETTE BLVD MSC 147
PORTLAND, OR 97203-5743
Phone number: 503-943-7134
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