Individual
RACHEL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
919 NE 19TH AVE, 170, PORTLAND, OR 97232-2210
(503) 232-1845
(503) 719-8209
Mailing address
919 NE 19TH AVE, 170, PORTLAND, OR 97232-2210
(503) 232-1845
(503) 719-8209
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
30859
OR
Other
Enumeration date
11/03/2015
Last updated
01/26/2017
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