Wilson, Gail Renee

Wilson, Gail Renee is an sole proprietor health care provider with primary practice located at 2614 Se 115Th Ave Apt 2 , Portland OR 97266-1176. She recently has only one registered license in Residential Treatment Facilities / Substance Abuse Treatment, Children, which is considered as her primary health care specialty. Wilson, Gail Renee can be contacted via phone (503) 757-4245.

Contact Information

Primary practice address
2614 Se 115Th Ave Apt 2 Portland OR 97266-1176
Phone: (503) 757-4245
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X 3245S0500X Oregon

Profile Details

NPI number 1821205246
LBN Legal business name Wilson, Gail Renee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2007
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Popular Providers