Individual
KRIS CLARKE WIELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7201 N INTERSTATE AVE, PORTLAND, OR 97217-5523
(503) 813-2000
Mailing address
7201 N INTERSTATE AVE, PORTLAND, OR 97217-5523
(503) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/18/2010
Last updated
05/23/2023
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