Individual
ANNA ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
520 NW WALL ST, BEND, OR 97703-2608
(541) 355-8165
Mailing address
520 NW WALL ST, BEND, OR 97703-2608
(541) 355-8165
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17906
OR
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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