Wilson, Andrea Clare

Wilson, Andrea Clare is an individual health care provider with primary practice located at 3425 13Th St , Baker City OR 97814-1340. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wilson, Andrea Clare can be contacted via phone (541) 523-7400.

Contact Information

Primary practice address
3425 13Th St Baker City OR 97814-1340
Phone: (541) 523-7400
Fax: (541) 523-4927
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 17-05-48 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X A12828 Oregon
Behavioral Health & Social Service Providers / Clinical 1041C0700X L16483 Oregon

Profile Details

NPI number 1639537855
LBN Legal business name Wilson, Andrea Clare
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2016
Last updated Jul 24th, 2025 - about last year

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 1639537855 NPPES
Oregon MEDICAID 500787454
Oregon Other 500700231

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