Justin Wilde
NPI 1679908883 · on the registry since 2013
Practice
- Address
- 2517 Mlk Jr Blvd
Eugene, OR 97401 - Phone
- (541) 342-4293
- Fax
- (541) 342-4832
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- Counselor
101Y00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-09-06
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