Individual
R. NATHANIEL WILSON-TRAISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10011 SE DIVISION ST, SUITE #305, PORTLAND, OR 97266-1351
(503) 335-5975
Mailing address
10011 SE DIVISION ST, SUITE #305, PORTLAND, OR 97266-1351
(503) 335-5975
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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