BLAKE WALLACE, LCSW

LCSW

Clinical Social Worker

NPI: 1518702976Individual

Specialties, Licenses & Credentials

Clinical Social WorkerPrimary

Social Worker — Clinical

Code: 1041C0700X

A15334(OR)L18555(OR)24-QMHP-R-2920(OR)

Contact & Hours

Address: 3500 NE MARTIN LUTHER KING JR BLVD STE 200
PORTLAND, OR 97212
Phone: (503) 327-8205

Quick Facts

NPI: 1518702976
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 3
Locations: 1

Are you this provider?

Claim Your Profile