Organization
GEORGIA WILCOX AND ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGIA GAYLE WILCOX PSYD (PSYCHOLOGIST)
(503) 452-2797
Entity
Organization
Contact information
Practice address
2800 N VANCOUVER AVE, #231, PORTLAND, OR 97227-1643
(503) 452-2797
Mailing address
2800 N VANCOUVER AVE, #231, PORTLAND, OR 97227-1643
(503) 452-2797
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
1455
OR
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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