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Search › Oregon › 363A00000X

Jennifer Wilson, PA

NPI 1053714089 · on the registry since 2014

Practice

Address
2440 Nw Edenbower Blvd
Roseburg, OR 97471
Phone
(541) 957-1141
Fax
(541) 957-1466
Organisation at this address
Weese Dermatology Pc
Jay N. Gade M.D., Phd., Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon