Individual
MORIAH WASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2808 SE BALFOUR ST, MILWAUKIE, OR 97222-6426
(503) 659-2575
(503) 659-5182
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PROFESSIONALLICENSE
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
06/17/2026
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