Individual
MISS NATALIE DAWN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
97 SW RIVERVIEW PLACE, GRESHAM, OR 97080
(503) 320-1201
Mailing address
97 SW RIVERVIEW PLACE, GRESHAM, OR 97080
(503) 320-1201
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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