JASON DAVID WALLIS

PORTLAND, OR
NPI1396913331
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: OR  C7443)
Enumeration Date2008-02-12
Last Update Date2024-09-05
Business Address
JASON DAVID WALLIS LPC
2901 E BURNSIDE ST
PORTLAND, OR 97214-1831
Phone number: 503-953-0310
Mailing Address
JASON DAVID WALLIS LPC
3500 NE MARTIN LUTHER KING JR BLVD STE 200
PORTLAND, OR 97212-2093
Phone number: 503-655-8264
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