Jason David Wallis, LPC is a mental health counselor in Portland, OR. Jason David Wallis, LPC NPI is 1396913331. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3500 NE MARTIN LUTHER KING JR BLVD STE 200
PORTLAND, OR
ZIP 97212-093
Phone: (503) 496-3201
The enumeration date for this NPI number is 2/12/2008 and was last updated on 5/22/2023.