VINCENT WALLULATUM

BEAVERTON, OR
NPI1588161780
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-04-12
Last Update Date2018-04-12
Business Address
VINCENT WALLULATUM
14355 SW ALLEN BLVD STE 150
BEAVERTON, OR 97005-4741
Phone number: 503-828-3402
Mailing Address
VINCENT WALLULATUM
14355 SW ALLEN BLVD STE 150
BEAVERTON, OR 97005-4741
Phone number: 503-828-3402
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