Wilson, Kristen

Wilson, Kristen is an individual health care provider with primary practice located at 1985 Saginaw St S , Salem OR 97302-5235. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Wilson, Kristen can be contacted via phone (503) 508-7518.

Contact Information

Primary practice address
1985 Saginaw St S Salem OR 97302-5235
Phone: (503) 508-7518
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 08-06-79 Oregon

Profile Details

NPI number 1295989440
LBN Legal business name Wilson, Kristen
Credentials CADC I
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2008
Last updated May 10th, 2013 - about 11 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 1295989440 NPPES
Oregon Other 08-06-79 ADDICTION COUNSELOR CERTIFICATION BOARD OF OREGON

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