Individual
DR. RICHARD WALTER WOLLERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1220 SW MORRISON ST STE 930, PORTLAND, OR 97205-2228
(360) 737-7712
(503) 241-7971
Mailing address
1220 SW MORRISON ST STE 930, PORTLAND, OR 97205-2228
(360) 737-7712
(503) 241-7971
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
795
OR
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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