Individual
BRITTANY DAWN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1942 SHERIDAN AVE, NORTH BEND, OR 97459-3416
(541) 756-3111
Mailing address
1942 SHERIDAN AVE, NORTH BEND, OR 97459-3416
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
THW000108149
TRADITIONAL HEALTHCARE WORKER
OR
Enumeration date
01/12/2023
Last updated
01/12/2023
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