Individual
ALANA MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
6637 SE MILWAUKIE AVE, SUITE 202, PORTLAND, OR 97202
(503) 208-3597
Mailing address
6637 SE MILWAUKIE AVE STE 202, PORTLAND, OR 97202-5658
(503) 208-3597
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95005184
CA
363LF0000X
Family Nurse Practitioner
201802008NP-PP
OR
Other
Enumeration date
06/14/2017
Last updated
09/13/2021
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