Individual
DR. STEPHANIE PAULINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
1755 COBURG RD, BLDG 6B, EUGENE, OR 97401
(541) 683-9357
(541) 683-3273
Mailing address
1755 COBURG RD, BLDG 6B, EUGENE, OR 97401
(541) 683-9357
(541) 683-3273
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150703
—
OR
Enumeration date
09/21/2006
Last updated
07/08/2007
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