Individual
MS. COLLEEN JOY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
875 OAK ST SE STE 4030, SALEM, OR 97301-3984
(503) 561-6444
Mailing address
875 OAK ST SE STE 4030, SALEM, OR 97301-3984
(503) 561-6444
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10052688
OR
363LF0000X
Family Nurse Practitioner
25058
SC
Other
Enumeration date
12/03/2020
Last updated
03/03/2026
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