Individual
WENDY M WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3629 SE LAMBERT ST, PORTLAND, OR 97202-8437
(503) 877-8617
Mailing address
4275 COMMERCIAL ST SE STE 180, SALEM, OR 97302-4087
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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