Individual
HEIDI WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
2705 E BURNSIDE ST STE 206, PORTLAND, OR 97214-1768
(503) 489-7831
(800) 655-8945
Mailing address
2705 E BURNSIDE ST., SUITE 206, #12, PORTLAND, OR 97214
(503) 489-7831
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175F00000X
Naturopath
Primary
4464
OR
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
10/02/2012
Last updated
01/28/2026
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