Search › Washington › 207RA0401X
Amanda Wilson, MD
NPI 1821066085 · on the registry since 2006
Practice
- Address
- 4016 52nd Avenue Ct Nw
Gig Harbor, WA 98335 - Phone
- (413) 221-6113
- Organisation at this address
- North-Star Care Of California Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 82 Main St., West Springfield, MA
Registry record
- Primary taxonomy
- 207RA0401X
207RA0401X
- Also registered as
- 207R00000X
207R00000X
207RA0401X - Licence states on file
- MA, CT, MI, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-05-03
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 Washington