Individual
MRS. BETHANY RAE WILHELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CADC II
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(971) 401-3976
Mailing address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(971) 401-3976
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
5696
OK
1041C0700X
Clinical Social Worker
Primary
L7348
OR
Other
Enumeration date
08/11/2010
Last updated
12/21/2021
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