Individual
DR. AMELIA J WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3434 SW KELLY AVE, PORTLAND, OR 97239-4630
(503) 490-5793
Mailing address
3434 SW KELLY AVE, PORTLAND, OR 97239-4630
(503) 490-5793
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2636
OR
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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