Aisha Wallace is a mental health counselor in Portland, OR. Aisha Wallace NPI is 1467580266. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
521 SW 11TH AVE
PORTLAND, OR
ZIP 97205-634
Phone: (503) 224-6008
The enumeration date for this NPI number is 3/1/2007 and was last updated on 7/8/2007.