Individual
AISLINN N WAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9115 SW OLESON RD STE 100, PORTLAND, OR 97223-6876
(907) 350-5448
Mailing address
1025 SE 27TH AVE, PORTLAND, OR 97214-2910
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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