Individual
DR. KIRSTIN BEAL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND, ATC
Contact information
Practice address
7175 SW BEVELAND RD STE 105, TIGARD, OR 97223-8665
(503) 244-0500
Mailing address
PO BOX 8196, PORTLAND, OR 97207-8196
(971) 220-8627
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
4352
OR
Other
Enumeration date
10/13/2020
Last updated
07/18/2022
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