Wilson, Dana

Wilson, Dana is an individual health care provider with primary practice located at 58646 Mcnulty Way , Saint Helens OR 97051-6210. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wilson, Dana can be contacted via phone (503) 397-5211.

Contact Information

Primary practice address
58646 Mcnulty Way Saint Helens OR 97051-6210
Fax: (503) 397-5373
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LMSW-30029 Idaho
Behavioral Health & Social Service Providers / Mental Health 101YM0800X L6404 Oregon

Profile Details

NPI number 1497085153
LBN Legal business name Wilson, Dana
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2009
Last updated Dec 9th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497085153 NPPES
Oregon MEDICAID 123190
Oregon MEDICAID 807675800

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