Individual
ELIZABETH AMY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1240 UNIVERSITY OF OREGON, 122 ESSLINGER, EUGENE, OR 97403-1205
(541) 346-4107
Mailing address
3355 LOMA LINDA DR, EUGENE, OR 97405-2791
(717) 343-9501
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
OR
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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