Wilson, Jessica Ellen
Wilson, Jessica Ellen is an sole proprietor health care provider with primary practice located at 4004 Se Woodstock Blvd , Portland OR 97202-7662. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wilson, Jessica Ellen can be contacted via phone (503) 777-0444.Contact Information
Primary practice address
4004 Se Woodstock Blvd
Portland OR 97202-7662
Phone: (503) 777-0444
Fax: (503) 777-0445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2617 | Oregon |
Profile Details
| NPI number | 1841675709 |
|---|---|
| LBN Legal business name | Wilson, Jessica Ellen |
| Credentials | M.S., PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2015 |
| Last updated | Nov 11th, 2015 - 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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