Wallsten, Daniel Michael

Wallsten, Daniel Michael is an individual health care provider with primary practice located at 8915 Sw Center St , Tigard OR 97223-6307. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Wallsten, Daniel Michael can be contacted via phone (035) 726-3690.

Contact Information

Primary practice address
8915 Sw Center St Tigard OR 97223-6307
Phone: (035) 726-3690
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 21-QMHA-R-1543 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X QMHP-R Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 23-QMHP-R-2358 Oregon

Profile Details

NPI number 1306514245
LBN Legal business name Wallsten, Daniel Michael
Credentials QMHA-R
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2021
Last updated Sep 18th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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