Individual
RYELY WILPONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
600 NE 8TH ST, GRESHAM, OR 97030-7317
(503) 988-5155
(503) 988-5185
Mailing address
619 SW 6TH AVE., 5TH FL, PORTLAND, OR 97209-8459
(503) 988-7468
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7672
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022959
—
OR
Enumeration date
06/27/2017
Last updated
11/28/2023
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