Organization
PATRICIA WAFER LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA WAFER (OWNER/THERAPIST)
(541) 784-6935
Entity
Organization
Contact information
Practice address
8306 N EDISON ST, PORTLAND, OR 97203-5309
(541) 784-6935
(541) 229-2233
Mailing address
8306 N EDISON ST, PORTLAND, OR 97203-5309
(541) 784-6935
(541) 229-2233
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/04/2019
Last updated
12/16/2024
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