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WALTER IRVING CHASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3311 NE MARTIN LUTHER KING BLVD, PORTLAND, OR 97212-2086
(503) 946-3484
(503) 331-2549
Mailing address
16410 SE 5TH ST APT A2, VANCOUVER, WA 98684-9569
(503) 475-4302

Taxonomy

Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary

Other

Enumeration date
03/02/2018
Last updated
03/02/2018
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