Individual
MS. ERIN ELIZABETH WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15602 SE DIVISION ST, PORTLAND, OR 97236-2002
(503) 762-2530
(503) 254-6396
Mailing address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
(503) 239-8407
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
Other
Enumeration date
04/08/2015
Last updated
04/08/2015
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