Individual
MRS. JESSICA ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9830 NE CASCADES PKWY, STE 200, PORTLAND, OR 97220-6832
(971) 271-1807
Mailing address
9830 NE CASCADES PKWY, STE 200, PORTLAND, OR 97220-6832
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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