Individual
KAITLYN PATRICIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
1 JEFFERSON PKWY APT 112, LAKE OSWEGO, OR 97035-8809
(503) 750-6295
Mailing address
1 JEFFERSON PKWY APT 112, LAKE OSWEGO, OR 97035-8809
(503) 750-6295
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
9516
CA
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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