Individual
PATRCIA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
200 E FOOTHILLS DR, NEWBERG, OR 97132-9039
(971) 412-4052
Mailing address
1002A N SPRINGBROOK RD STE 314, NEWBERG, OR 97132-2024
(971) 412-0452
(971) 231-0235
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T2401
OR
Other
Enumeration date
08/24/2016
Last updated
04/15/2025
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