Wilcox, Georgia Gayle

Wilcox, Georgia Gayle is an individual health care provider with primary practice located at 2800 N Vancouver Ave #231, Portland OR 97227-1630. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wilcox, Georgia Gayle can be contacted via phone (503) 452-2797.

Contact Information

Primary practice address
2800 N Vancouver Ave #231 Portland OR 97227-1630
Fax: (503) 413-4898
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1455 Oregon

Profile Details

NPI number 1710970413
LBN Legal business name Wilcox, Georgia Gayle
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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