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Individual

DR. JESSICA ELLEN WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., PSY.D.

Contact information

Practice address
4004 SE WOODSTOCK BLVD, PORTLAND, OR 97202-7662
(503) 777-0444
(503) 777-0445
Mailing address
10115 SE BELL AVE, MILWAUKIE, OR 97222-2533
(702) 540-1819
(530) 777-0445

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2617
OR

Other

Enumeration date
07/21/2015
Last updated
11/11/2015
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