Earl Dean Wilson
NPI #1639490022 in Happy Valley, Oregon
Provider Information
- NPI Number
- 1639490022
- Entity Type
- Individual
- Name
- Earl Dean Wilson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist
- Enumeration Date
- Jun 20, 2010
- Last Updated
- Jun 20, 2010
Practice Location
- Address
- 8305 SE MONTEREY AVE
- Address 2
- 220
- City
- Happy Valley
- State
- Oregon
- ZIP Code
- 97086-7725
- Phone
- (503) 659-4082
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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