Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OWEN WALLULATUM, CRM
ActiveOWEN WALLULATUM, CRM is a Addiction (Substance Use Disorder) Counselor healthcare provider located in REDMOND, Oregon. NPI 1265966055 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · REDMOND, OR
Registration Details
- NPI Number
- 1265966055
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 18, 2017 (9.3418362661536 yrs)
- Last Updated
- Apr 18, 2017
- License
-
17 CRM 065 (OR)
Practice Information
- Address
-
340 NW 5TH STBOX 1710REDMOND, OR, 977561869Browse OR providers · Browse ZIP 97756
- Phone
- 5415164087
- Fax
- 5415041195
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in REDMOND, OR
| Name | Credential | NPI |
|---|---|---|
| MR. ROGER JOSEPH SMITH | CADC I | 1205973864 |
| MR. COLIN PATRICK TAYLOR | CADC I | 1417094079 |
| SIDNEY CHICHESTER | — | 1104027432 |
| MRS. MARTHA JONES | MS | 1558688069 |
| MRS. SUSAN KAY MOORE-SEANEY | M.A.T | 1063793974 |
| PATRICK TRELEAVEN | LCSW | 1952642795 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.