Individual
MS. ALANA BARBARA WAUTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14255 SW BRIGADOON CT, BEAVERTON, OR 97005-3369
(503) 641-1475
(503) 641-8548
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-9581
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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