Search › Oregon › 101YA0400X
Charles Wanke, CRM
NPI 1609390020 · on the registry since 2017
Practice
- Address
- 4585 Sw 185th Ave
Aloha, OR 97078 - Phone
- (503) 591-9280
- Organisation at this address
- Sequoia Mental Health Services Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 209
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 171M00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-21
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