Individual provider · Type 1 NPI

Chris Waller

Counselor · Portland, OR

NPI number 1255898714 Active

Practice location

8041 E Burnside St
Portland, OR 97215-1548

Call (503) 252-3304 Map

Mailing address

1027 E Burnside St
Portland, OR 97214-1328

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1255898714

Chris Waller's National Provider Identifier is 1255898714, issued on Feb 20, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Feb 20, 2019.