| Wilson Family Services Llc | |
|
1306 Ne 2nd Ave Portland OR 97232-1117 | |
| (971) 279-7439 | |
| Not Available |
| Full Name | Wilson Family Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1306 Ne 2nd Ave, Portland, Oregon |
| Authorized Official Name and Position | Timisha K Wilson (OWNER) |
| Authorized Official Contact | 5037015534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson Family Services Llc 8401 Ne Halsey St Ste 108 Portland OR 97220-5670 Ph: (971) 279-7439 | Wilson Family Services Llc 1306 Ne 2nd Ave Portland OR 97232-1117 Ph: (971) 279-7439 |
| NPI Number | 1043947203 |
|---|---|
| Provider Enumeration Date | 08/06/2022 |
| Last Update Date | 07/01/2024 |
| Certification Date | 07/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043947203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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