Wade Belknap QMHP

NPI 1053436634 - Counselor - 101YM0800X

NPI Details
NPI 1053436634
Gender Male
Enumeration Date 03/20/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2330 NE SISKIYOU ST
PORTLAND OR, 97212-2471, US
Phone (503) 528-0757
Fax
Business Location
310 HOLMES LN
OREGON CITY OR, 97045-3629, US
Phone
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Wade Belknap QMHP NPI is 1053436634, taxonomy code is 101YM0800X Wade Belknap QMHP physically located at 2330 Ne Siskiyou St, Portland OR, 97212-2471. NPI Number Wade Belknap QMHP has the Individual type.

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1053436634 NPI number is provided on an as is basis without warranty of any kind. 1053436634 is maintained by the National Plan & Provider Enumeration System. The contents of Wade Belknap QMHP are for informational purposes only.