Individual
MRS. SHEILA MARIA WALTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1455 NW IRVING ST, STE 200, PORTLAND, OR 97209-2275
(503) 842-7855
(971) 339-0401
Mailing address
1455 NW IRVING ST, STE 200, PORTLAND, OR 97209-2275
(503) 842-7855
(971) 339-0401
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0234
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500636891
—
OR
Enumeration date
08/01/2006
Last updated
10/27/2019
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