FABIANA WALLIS

PORTLAND, OR
NPI1518006709
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: OR  1657)
Enumeration Date2007-02-05
Last Update Date2007-07-08
Business Address
-- FABIANA WALLIS Ph.D.
7 SE 30TH AVE
PORTLAND, OR 97214-1902
Phone number: 503-939-4737
Mailing Address
-- FABIANA WALLIS Ph.D.
115 SE 16TH AVE
PORTLAND, OR 97214-1441
Phone number: 503-889-2849
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