Individual
MRS. LATASHA LAYLA WHEATT-DELANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP, MSW
Contact information
Practice address
3034 NE MLK BLVD, PORTLAND, OR 97212-3053
(503) 889-2522
Mailing address
3157 SE 165TH PL, PORTLAND, OR 97236-1850
(503) 408-7721
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/24/2007
Last updated
02/12/2009
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