Individual
MS. HEATHER ANNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
2928 SE HAWTHORNE BLVD, SUITE 107, PORTLAND, OR 97214-4147
(503) 652-8076
(503) 922-0080
Mailing address
4110 SE HAWTHORNE BLVD, PMB 267, PORTLAND, OR 97214-5246
(503) 652-8076
(503) 922-0080
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
367A00000X
Advanced Practice Midwife
Primary
201391420NP-PP
OR
Other
Enumeration date
01/14/2009
Last updated
03/25/2021
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