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Search › Oregon › 1041C0700X

Jennifer Wallis, LCSW, CADCIII

NPI 1821285628 · on the registry since 2007

Practice

Address
19500 Se Stark St
Portland, OR 97233
Phone
(503) 278-0397
Organisation at this address
Kaiser Foundation Health Plan Of The Northwest
Kaiser Foundation Health Plan Of The Northwest
Kaiser Foundation Health Plan Of The Northwest
Inferred from a shared address, not stated in the registry.
Clinicians at this address
114

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YM0800X
101YA0400X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-12-28

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