MS. Gail Renee Wilson
MS. Gail Renee Wilson is a Children's Substance Abuse Rehabilitation Facility in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2007
Practice location Address checks out
2614 SE 115th Ave Apt 2Portland, OR 97266-1176
Phone: (503) 757-4245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Children's Substance Abuse Rehabilitation Facility (primary) | Taxonomy 3245S0500X · Licence 3245S0500X (OR) |
|---|
Record details
| NPI number | 1821205246 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 16, 2007 |
| Last updated in NPPES | July 8, 2007 |
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