D Wilson Apn Family Medicine And Psychiatric Services Pllc
Specialty details in registry · Portland, OR
At a glance
205 Se Spokane St Ste 300, Portland, OR 97202-6487
NPPES record updated Sep 20, 2023. Public records can lag behind changes at a practice.
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Practice location
205 Se Spokane St Ste 300Portland, OR 97202-6487
Additional reported practice locations
2512 E Evergreen Blvd # 1016Vancouver, WA 986614323
Phone: 8178213819
Fax: 5102750461 170 S Lincoln St Ste 100
Spokane, WA 992014443
Phone: 8885084068
Fax: 5035060602
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 363LP0808X
- Enumeration date
- Jul 23, 2020
- Record updated
- Sep 20, 2023
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
363LP0808X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
205 Se Spokane St Ste 300Portland, OR 97202-6487
- Phone
- (888) 508-4068
- Fax
- (503) 506-0602
Mailing address
205 SE SPOKANE ST STE 300PORTLAND, OR 972026487
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