Individual
DR. GEORGIA GAYLE WILCOX
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2800 N VANCOUVER AVE, #231, PORTLAND, OR 97227-1630
(503) 452-2797
(503) 413-4898
Mailing address
2800 N VANCOUVER AVE, #231, PORTLAND, OR 97227-1630
(503) 452-2797
(503) 413-4898
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1455
OR
Other
Enumeration date
08/26/2005
Last updated
07/08/2007
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