SUZANNE KAPUAMAILANI WALLACE

PORTLAND, OR
NPI1467587618
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L3489)
Enumeration Date2007-02-21
Last Update Date2013-11-01
Business Address
Ms. SUZANNE KAPUAMAILANI WALLACE MSW, ASW, LCSW
9911 SE MOUNT SCOTT BLVD
PORTLAND, OR 97266-6302
Phone number: 503-258-4200
Mailing Address
Ms. SUZANNE KAPUAMAILANI WALLACE MSW, ASW, LCSW
9911 SE MT.SCOTT BOULEVARD
PORTLAND, OR 97266
Phone number: 503-258-4200