Provider Demographics
NPI:1487827036
Name:WAYFINDERS COUNSELING AND REFERRAL, LLC
Entity Type:Organization
Organization Name:WAYFINDERS COUNSELING AND REFERRAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:ALLISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:971-221-3437
Mailing Address - Street 1:1528 NE 63RD AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-4702
Mailing Address - Country:US
Mailing Address - Phone:971-275-5479
Mailing Address - Fax:
Practice Address - Street 1:3234 NE WASCO ST
Practice Address - Street 2:SUITE G
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-1981
Practice Address - Country:US
Practice Address - Phone:971-221-3437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-03
Last Update Date:2013-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL3794251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health