Individual
AMBER WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWA
Contact information
Practice address
3125B NE HOLLADAY ST, PORTLAND, OR 97232-2504
(503) 217-4457
Mailing address
3125B NE HOLLADAY ST, PORTLAND, OR 97232-2504
(503) 217-4457
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A15383
OR
Other
Enumeration date
05/08/2023
Last updated
12/09/2024
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