Individual
HARRISON JAMES WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4247 SW HUME ST, PORTLAND, OR 97219-3552
(253) 301-8220
Mailing address
4247 SW HUME ST, PORTLAND, OR 97219-3552
(253) 301-8220
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
OR
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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