Individual
WALTER A SEBASTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PCA
Contact information
Practice address
6224 SE 91ST AVE, PORTLAND, OR 97266-5212
(503) 573-9509
Mailing address
6224 SE 91ST AVE, PORTLAND, OR 97266-5212
(503) 573-9509
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R9739
OR
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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