Organization
RELIEF MENTAL HEALTH CONSULTANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE RENEE WILSON DNP, PMHNP, FNP (OWNER AND PROVIDER)
(855) 704-2004
Entity
Organization
Contact information
Practice address
205 SE SPOKANE ST STE 300, PORTLAND, OR 97202-6487
(855) 704-2004
(503) 386-3366
Mailing address
205 SE SPOKANE ST STE 300, PORTLAND, OR 97202-6487
(855) 704-2004
(503) 386-3366
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
08/09/2023
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