SearchOregon175T00000X

Carmen Wilson

NPI 1639848013 · on the registry since 2021 · sole proprietor

Practice

Address
433 Ne 17th St Apt 7
Mcminnville, OR 97128
Phone
(714) 812-3992

Registry record

Primary taxonomy
175T00000X
175T00000X
Also registered as
101Y00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-26

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