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Individual

PAULA WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(509) 494-8671
(503) 494-8671
Mailing address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(509) 494-8671
(503) 494-8671

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01397
OR

Other

Enumeration date
10/08/2008
Last updated
10/08/2008
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