MICHAEL WALLER

PORTLAND, OR
NPI1760360531
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L17560)
Enumeration Date2025-08-21
Last Update Date2026-05-18
Business Address
MICHAEL WALLER
4110 NE 122ND AVE STE 110
PORTLAND, OR 97230-1359
Phone number: 503-832-0792
Mailing Address
MICHAEL WALLER
501 N DIXON ST
PORTLAND, OR 97227-1804
Phone number:
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