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Individual

MS. VERLINDA WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3716 NE M L KING BLVD, PORTLAND, OR 97212-1111
(503) 288-8066
(503) 288-8168
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-3581
(503) 533-0152

Taxonomy

Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
200140935R
OR
163WP0808X
Psychiatric/Mental Health Registered Nurse
200140935R
OR
372600000X
Adult Companion
Primary
OR

Other

Enumeration date
03/02/2007
Last updated
08/08/2008
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