EARNEST WALLACE, PSS

PSS

Peer Specialist

NPI: 1730927815Individual

Specialties, Licenses & Credentials

Peer SpecialistPrimary

Peer Specialist

Code: 175T00000X

111712(OR)

Contact & Hours

Address: 5201 SW WESTGATE DR STE 100
PORTLAND, OR 97221
Phone: (469) 297-0096

Quick Facts

NPI: 1730927815
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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