SearchOregon171100000X

Michelle Waneka, LAC

NPI 1750816286 · on the registry since 2017 · sole proprietor

Practice

Address
3313 Ne 70th Ave
Portland, OR 97213
Phone
(907) 299-1187

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-09-02

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