Individual
SAMUEL WENC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 234-9591
Mailing address
1726 SE DIVISION ST, PORTLAND, OR 97202-1144
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OR
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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