Wyatt Fernelius, QMHA
NPI 1982127874 · on the registry since 2017
Practice
- Address
- 2640 Nw Alexandra Ave
Portland, OR 97210 - Phone
- (503) 731-3978
- Fax
- (503) 239-1252
- Organisation at this address
- White Shield Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- Counselor
101Y00000X
- Sex
- Male
- Record last updated
- 2017-07-21
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