Individual
CAROL WALNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2135 NE 44TH AVE, PORTLAND, OR 97213-1337
(503) 287-1526
Mailing address
2135 NE 44TH AVE, PORTLAND, OR 97213-1337
(503) 287-1526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RO755
OR
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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