Organization
D WILSON APN FAMILY MEDICINE AND PSYCHIATRIC SERVICES PLLC
Active
Other names
UPPER ECHELON PSYCHIATRY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVONNA WILSON DNP, PMHNP (PMHNP)
(888) 508-4068
Entity
Organization
Contact information
Practice address
205 SE SPOKANE ST STE 300, PORTLAND, OR 97202-6487
(888) 508-4068
(503) 506-0602
Mailing address
205 SE SPOKANE ST STE 300, PORTLAND, OR 97202-6487
(888) 508-4068
(503) 506-0602
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
09/20/2023
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