Wister Park Counseling, LLC

NPI #1043683105 in Milwaukie, Oregon

Provider Information

NPI Number: 1043683105
Entity Type: Organization
Organization Name: Wister Park Counseling, LLC
Primary Specialty: Public Health or Welfare
Enumeration Date: Nov 10, 2015
Last Updated: Nov 10, 2015

Practice Location

Address: 11630 SE 40TH AVE
Address 2: STE. A
City: Milwaukie
State: Oregon
ZIP Code: 97222-6195
Phone: (503) 277-9780

Authorized Official

Name: MR. BYRON W KEHLER, M.S.
Title: PRESIDENT
Phone: (503) 277-9780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Public Health or Welfare	251K00000X	Primary

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