Individual
MS. DEBORAH LEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, MAIL CODE P3MHDC, PORTLAND, OR 97239-2964
(503) 220-8262
(503) 220-3499
Mailing address
7355 SW 54TH AVE, PORTLAND, OR 97219-1346
(503) 235-9323
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
087000403N6
OR
Other
Enumeration date
08/24/2006
Last updated
07/12/2007
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