Organization
GERIATRIC PSYCHIATRY ASSOCIATES
Active
Organization
GERIATRIC PSYCHIATRY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARA NOEL WILCOX PA-C (MEDICAL PROVIDER)
(503) 212-4243
Entity
Organization
Contact information
Practice address
123 NW 12TH AVE APT 424, PORTLAND, OR 97209-4145
(503) 367-3572
Mailing address
17815 SW CHAPARRAL DR, POWELL BUTTE, OR 97753-0456
(503) 212-4243
(833) 218-3122
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD171702
—
Other
Enumeration date
06/20/2018
Last updated
08/23/2019
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