Individual
DR. ANNA CAMILLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, UHN-2, PORTLAND, OR 97239-3011
(503) 494-9514
Mailing address
3181 SW SAM JACKSON PARK RD, UHN-2, PORTLAND, OR 97239-3011
(503) 494-9514
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1946
OR
Other
Enumeration date
12/09/2008
Last updated
05/11/2009
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