WILDER HEARTWOOD

PORTLAND, OR
NPI1740906916
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-10-18
Last Update Date2022-10-18
Business Address
WILDER HEARTWOOD CADC-R
2720 NE FLANDERS ST
PORTLAND, OR 97232-3160
Phone number: 503-238-5203
Mailing Address
WILDER HEARTWOOD CADC-R
2405 SE 105TH AVE
PORTLAND, OR 97216-3050
Phone number: