Individual
DR. WAYNE ELLSWORTH COLWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4900 SW GRIFFITH DR, SUITE 261, BEAVERTON, OR 97005-5607
(503) 526-1949
(503) 627-9145
Mailing address
4900 SW GRIFFITH DR, SUITE 261, BEAVERTON, OR 97005-5607
(503) 526-1949
(503) 627-9145
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
705
OR
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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