Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILSON REAL, RN, BSN
ActiveWILSON REAL, RN, BSN is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in PORTLAND, Oregon. NPI 1629792239 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · PORTLAND, OR
Registration Details
- NPI Number
- 1629792239
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 27, 2022 (3.864048331892 yrs)
- Last Updated
- Jul 31, 2024
- Licenses
-
10023691 (OR)AP61535948 (WA)
Practice Information
- Address
-
3550 N INTERSTATE AVEPORTLAND, OR, 97227Browse OR providers · Browse ZIP 97227
- Phone
- 5038132000
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| MRS. CAROL SHYCHY WILLEFORD | PMHNP | 1548260268 |
| MS. BRENDA CAROL HEROLD | PMHNP | 1629062518 |
| JENNIFER REBECCA MILLER | ARNP | 1235124603 |
| MS. TERESA CATHERINE KEANE | RN, MSN, PMHNP | 1124017553 |
| MS. SUSAN TERESA MURPHY | PMHNP | 1114918216 |
| CAROL D DODSON | RN, MS, PMHNP | 1215918974 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.