Individual
REBEKAH WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3876 BEVERLY AVE NE BLDG G, SALEM, OR 97305-1319
(503) 540-2166
Mailing address
3876 BEVERLY AVE NE BLDG G, SALEM, OR 97305-1319
(503) 540-2166
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/30/2012
Last updated
12/26/2017
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