Waters, Allison

Waters, Allison is an individual health care provider with primary practice located at 3034 Ne Martin Luther King Jr Blvd , Portland OR 97212-3053. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Waters, Allison can be contacted via phone (503) 283-3763.

Contact Information

Primary practice address
3034 Ne Martin Luther King Jr Blvd Portland OR 97212-3053
Phone: (503) 283-3763
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1306413984
LBN Legal business name Waters, Allison
Credentials MSW, MDIV, QMHP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2021
Last updated Jun 10th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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