Individual
MS. PAULA RENEE WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4215 N MICHIGAN AVE, PORTLAND, OR 97217-3116
(503) 442-4862
(503) 926-9161
Mailing address
4215 N MICHIGAN AVE, PORTLAND, OR 97217-3116
(503) 442-4862
(503) 926-9161
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3816
OR
Other
Enumeration date
04/24/2007
Last updated
09/15/2010
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