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Search › Oregon › 103T00000X

Ethan Waranch, PSYD

NPI 1053764886 · on the registry since 2016 · sole proprietor

Practice

Address
12636 Se Stark St Bldg J
Portland, OR 97233
Phone
(503) 253-4600
Fax
(503) 253-4605
Organisation at this address
Western Psychological And Counseling Services Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
44

Registry record

Primary taxonomy
103T00000X
103T00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-02-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon