Johanna Marcela Wilson
Johanna Marcela Wilson is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
3181 SW Sam Jackson Park RdPortland, OR 97239-3011
Phone: (503) 258-7074
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1437876281 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 24, 2022 |
| Last updated in NPPES | October 24, 2022 |
| Certification date | October 23, 2022 |
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