Individual
MRS. ANDREA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,BSN
Contact information
Practice address
58646 MCNULTY WAY, SAINT HELENS, OR 97051-6210
(503) 397-5211
(503) 397-5373
Mailing address
PO BOX 1234, SAINT HELENS, OR 97051-8234
(503) 397-5211
(503) 397-5373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200942534RN
OR
Other
Enumeration date
04/04/2010
Last updated
04/04/2010
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