Individual
MS. SUSAN J WILSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
32285 S KROPF RD, CANBY, OR 97013-8563
(503) 651-5252
Mailing address
32285 S KROPF RD, CANBY, OR 97013-8563
(503) 651-5262
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
078041542N9 NNP
OR
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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