NPI 1043683105
Wister Park Counseling, LLC
Practice location
- Address
- 11630 SE 40th Ave STE. a, Milwaukie, OR 97222-6195
- Phone
- (503) 277-9780
Authorised official
- Name
- Byron W Kehler
- Title
- President
- Phone
- (503) 277-9780
Registered specialties
Public Health or Welfare Agency
Primary
Registry record
- NPI
- 1043683105
- Entity type
- Organization
- NPI issued
- 10 Nov 2015
- Record last updated
- 10 Nov 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.