Individual provider · Type 1 NPI
Martine Rose Wallenberg, MS, ED.D, LMHC, LPC
Mental Health Counselor · Portland, OR
NPI number
1184270621
Active
Practice location
5441 S Macadam Ave Ste R
Portland, OR 97239-3822
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | C11126 (OR) |
| Mental Health Counselor | 101YM0800X | MH23604 (FL) |
Mental Health Counselor: Definition to come...
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Other mental health counselor providers in Portland
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About NPI 1184270621
Martine Rose Wallenberg, MS, ED.D, LMHC, LPC's National Provider Identifier is 1184270621, issued on Aug 12, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Apr 16, 2026.