Individual
MR. ABDELA MILO WOTICHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COUNSELOR-M.H --MSW
Contact information
Practice address
1510 NE 152ND PL, PORTLAND, OR 97230
(503) 810-2597
Mailing address
1510 NE 152ND PL, PORTLAND, OR 97230
(503) 810-2597
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982898201
—
OR
Enumeration date
08/29/2007
Last updated
11/03/2025
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