Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. GAIL RENEE WILSON
Active Sole ProprietorChildren's Substance Abuse Rehabilitation Facility · PORTLAND, OR
Registration Details
- NPI Number
- 1821205246
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 16, 2007 (18.975541454087 yrs)
- Last Updated
- Jul 8, 2007
- License
-
3245S0500X (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2614 SE 115TH AVE APT 2PORTLAND, OR, 972661176Browse OR providers · Browse ZIP 97266
- Phone
- 5037574245
- Primary Specialty
-
Children's Substance Abuse Rehabilitation Facility
3245S0500X
Other Children's Substance Abuse Rehabilitation Facility Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| MISS KELSEY CORRINE COFFEY | — | 1548407646 |
| RICHARD IVAN VAUGHAN | BS | 1396186607 |
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.