Individual
SALLY WENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
400 E MAIN ST STE 110, HILLSBORO, OR 97123-4163
(503) 640-9892
(503) 648-9732
Mailing address
400 E MAIN ST STE 110, HILLSBORO, OR 97123-4163
(503) 640-9892
(503) 648-9732
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1656
OR
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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