WALTER A SEBASTE PCA
NPI 1972337475
Counselor - Professional in Portland, OR
Active since August 27, 2024
About Walter A Sebaste Pca NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALTER A SEBASTE PCA (NPI 1972337475) is an individual professional provider in Portland, Oregon, licensed in Oregon (R9739) and active in the NPI registry since August 2024.
NPPES Registry Identity
NPI1972337475
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameWALTER A SEBASTECredential: PCA
Location Address6224 SE 91ST AVEPortland, OR 97266-5212
Mailing Address6224 Se 91st AvePortland, OR 97266-5212 · (503) 573-9509
Phone(503) 573-9509
Sole ProprietorYes
Enumeration DateAugust 27, 2024
NPPES CertifiedAugust 27, 2024
✔ NPI 1972337475 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · R9739
6224 SE 91ST AVE, Portland, OR 97266
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972337475, enumerated as an "individual" on August 27, 2024.
The provider is located at 6224 SE 91ST AVE PORTLAND, OR 97266 and the phone number is (503) 573-9509.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
