Individual
JULIE ANN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
YELLOWHAWK TRIBAL HEALTH CTR, 46314 TIMINE WAY, PENDLETON, OR 97801-9417
(541) 966-9830
Mailing address
PO BOX 160, PENDLETON, OR 97801
(541) 966-9830
(541) 278-7568
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201706057RN
OR
Other
Enumeration date
06/27/2017
Last updated
08/12/2022
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