Individual
ANNA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19721 S HIGHWAY 213, OREGON CITY, OR 97045-4190
(503) 342-6519
Mailing address
19721 S HIGHWAY 213, OREGON CITY, OR 97045-4190
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63415
OR
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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