Individual
DR. RONALD GENE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1322 NE ORENCO STATION PKWY, SUITE 310, HILLSBORO, OR 97124-5424
(503) 681-9679
(503) 844-7399
Mailing address
20373 NW COLONNADE DR, HILLSBORO, OR 97124-6789
(503) 369-3014
(503) 844-7399
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0955
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045968
—
OR
Enumeration date
12/14/2006
Last updated
07/08/2007
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