Individual
MORIAH JANE WASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5415 SW WESTGATE DR, PORTLAND, OR 97221-2409
(971) 470-7942
Mailing address
5415 SW WESTGATE DR, PORTLAND, OR 97221-2409
(971) 470-7942
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
11/24/2023
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