AISHA WALLACE

PORTLAND, OR
NPI1467580266
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-03-01
Last Update Date2007-07-08
Business Address
-- AISHA WALLACE
521 SW 11TH AVE
PORTLAND, OR 97205-2634
Phone number: 503-224-6008
Mailing Address
-- AISHA WALLACE
4425 NE AINSWORTH ST
PORTLAND, OR 97218-1319
Phone number:
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