Individual
RYAN MICHAEL WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
880 82ND DR, GLADSTONE, OR 97027-1803
(503) 659-5515
Mailing address
880 82ND DR, GLADSTONE, OR 97027-1803
(971) 380-3886
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0710
OR
Other
Enumeration date
06/29/2007
Last updated
04/03/2024
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