Wister Park Counseling, LLC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

WISTER PARK COUNSELING, LLC

Practice address

11630 SE 40TH Ave
Ste. a
Milwaukie, OR 97222-6195

Phone

(503) 277-9780

NPI assigned

Nov 10, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Byron W Kehler, M.S.

Title

President

Phone

(503) 277-9780

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1043683105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11630 SE 40TH AVE",
            "address_2": "STE. A",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226195",
            "telephone_number": "503-715-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 SE 40TH AVE",
            "address_2": "STE. A",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226195",
            "telephone_number": "503-277-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISTER PARK COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "KEHLER",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-277-9780",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carroll Renna Winkler, OTR
• Jessica Winstead, PHARMD
• Sara Gabriela Winston Frojen, M.A., CCC-SLP
• Jo Ellen Winston, DMD
• Cathryn Lee Wise, MD
• Leslie Elaine Witt, OCCUPATIONAL THERAPI
• Arsie Wodesso
• Kermit Kay Wohlerhaus, PHD OTR
• Alem G Woldearegay, PTA
• Erin Eleanor Wolf Rambo, PT

• Public Health or Welfare Agency in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Public Health or Welfare Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.