EARNEST WALLACE

PORTLAND, OR
NPI1730927815
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
(Licence: OR  111712)
Enumeration Date2024-07-15
Last Update Date2024-07-15
Business Address
EARNEST WALLACE PSS
5201 SW WESTGATE DR STE 100
PORTLAND, OR 97221-2424
Phone number: 469-297-0096
Mailing Address
EARNEST WALLACE PSS
423 MCKINLEY ST
CEDAR HILL, TX 75104-2287
Phone number:
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