Individual
MASON WORDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6605 SE LAKE RD, MILWAUKIE, OR 97222-2161
(503) 655-8471
Mailing address
6618 N CONGRESS AVE, PORTLAND, OR 97217-1930
(208) 985-4630
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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