Individual
DR. CASEY FRENCH WIXSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
7707 SW CAPITOL HWY, PORTLAND, OR 97219-2458
(503) 452-8002
Mailing address
4420 SE RISLEY AVE, MILWAUKIE, OR 97267-2954
(208) 602-1918
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2398
OR
Other
Enumeration date
09/08/2009
Last updated
09/04/2013
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