MS. Gail Renee Wilson

NPI #1821205246 in Portland, Oregon

Provider Information

NPI Number
1821205246
Entity Type
Individual
Name
MS. Gail Renee Wilson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date
May 16, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2614 SE 115TH AVE APT 2
State
Oregon
ZIP Code
97266-1176
Phone
(503) 757-4245

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, ChildrenSubstance Abuse Treatment, Children

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