Individual
DANIEL MICHAEL WALLSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSWA
Contact information
Practice address
2250 NW FLANDERS ST STE 201, PORTLAND, OR 97210-5410
(503) 427-1952
Mailing address
2250 NW FLANDERS ST STE 201, PORTLAND, OR 97210-5410
(503) 568-1493
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A14721
OR
Other
Enumeration date
09/04/2021
Last updated
11/11/2025
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