Individual provider · Type 1 NPI

Nicholas B. Wavers, PCA

Mental Health Counselor · Portland, OR

NPI number 1184487787 Active

Practice location

11740 SW 68th Pkwy Ste 200
Portland, OR 97223-9058

Mailing address

980 NE Orenco Station Loop Apt 621
Hillsboro, OR 97124-4503

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XR8909 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1184487787

Nicholas B. Wavers, PCA's National Provider Identifier is 1184487787, issued on Feb 5, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Mar 13, 2024.