Individual
NOAH WILSON-FEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3900 PACIFIC AVE, FOREST GROVE, OR 97116-2226
(503) 359-0449
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 565-3581
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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