Individual
MEGAN JANE WURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9115 SW OLESON RD STE 100, PORTLAND, OR 97223-6876
(650) 808-7160
Mailing address
5160 SW 180TH AVE UNIT 24, ALOHA, OR 97078-3160
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/23/2019
Last updated
05/07/2019
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