Individual
AMBER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
818 COMMERCIAL ST STE 400, ASTORIA, OR 97103-4552
(541) 260-3488
Mailing address
818 COMMERCIAL ST STE 400, ASTORIA, OR 97103-4552
(541) 260-3488
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
110323
OR
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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