Individual
JESSICA L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6800 SW 105TH AVE STE 206, BEAVERTON, OR 97008-5487
(503) 430-1777
(503) 372-5119
Mailing address
6800 SW 105TH AVE STE 206, BEAVERTON, OR 97008-5487
(503) 430-1777
(503) 372-5119
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO210423
OR
Other
Enumeration date
03/10/2017
Last updated
05/01/2025
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