Individual
MS. CHERYL WILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1804 NE 45TH AVE, PORTLAND, OR 97213-1416
(503) 239-3915
(503) 253-0796
Mailing address
1804 NE 45TH AVE, PORTLAND, OR 97213-1416
(503) 239-3915
(503) 253-0796
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CO154
OR
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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