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Individual

WALTER WINFREE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3710 SW US VETERANS HOSPITAL RD # P3MHDC, PORTLAND, OR 97239-2964
(405) 641-0106
Mailing address
4134 N MICHIGAN AVE, PORTLAND, OR 97217-3115

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2835
OR

Other

Enumeration date
10/05/2017
Last updated
10/05/2017
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