Wayne Martin Mallory, CADCI is an addiction (substance use disorder) counselor in Portland, OR. Wayne Martin Mallory, CADCI NPI is 1881906238. 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:
16000 SE POWELL BLVD UNIT 65
PORTLAND, OR
ZIP 97236-783
Phone: (503) 239-5738
Fax: (503) 239-8429
The enumeration date for this NPI number is 7/13/2010 and was last updated on 7/13/2010.