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Organization
WILSON FAMILY SERVICES LLC
Active
Organization
WILSON FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMISHA K WILSON LCSW (OWNER)
(503) 701-5534
Entity
Organization
Contact information
Practice address
1306 NE 2ND AVE, PORTLAND, OR 97232-1117
(971) 279-7439
Mailing address
8401 NE HALSEY ST STE 108, PORTLAND, OR 97220-5670
(971) 279-7439
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/06/2022
Last updated
07/01/2024
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