Individual
WENDELL E. JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA QMHA
Contact information
Practice address
2330 NE SISKIYOU ST, PORTLAND, OR 97212-2471
(503) 528-0757
(503) 528-0764
Mailing address
4042 NE 10TH AVE, PORTLAND, OR 97212-1223
(503) 281-6974
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/08/2007
Last updated
09/11/2025
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