Individual
ALLYSON ELIZABETH BILLINGS WICKERHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
419 E 7TH ST STE 207, THE DALLES, OR 97058-2676
(541) 296-5452
Mailing address
419 E 7TH ST STE 207, THE DALLES, OR 97058-2676
(541) 296-5452
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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