BAX WILDER WHITE

PORTLAND, OR
NPI1972233757
Former NameELIZABETH ANNE WHITE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2022-06-14
Last Update Date2022-06-14
Business Address
BAX WILDER WHITE MSW
3615 NE GRAND AVE
PORTLAND, OR 97212-2104
Phone number: 503-281-1166
Mailing Address
BAX WILDER WHITE MSW
8982 N EXETER AVE
PORTLAND, OR 97203-5920
Phone number: 503-860-3064