DR. Peter Frederick Wilson, PSY.D.

NPI #1992897490 in Gresham, Oregon

Provider Information

NPI Number: 1992897490
Entity Type: Individual
Name: DR. Peter Frederick Wilson, PSY.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PSY.D.
Enumeration Date: Sep 29, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1217 NE BURNSIDE RD
Address 2: BLDG B, SUITE 401
City: Gresham
State: Oregon
ZIP Code: 97030-6722
Phone: (503) 666-8832

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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