Individual
PAMELA DARLENE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
119 NARAIN CT, OREGON CITY, OR 97045-3624
(503) 347-3749
Mailing address
119 NARAIN CT, OREGON CITY, OR 97045-3624
(503) 347-3749
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8184
OR
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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