SearchOregon225700000X

Juan Wilson

NPI 1841009503 · on the registry since 2025 · sole proprietor

Practice

Address
13815 Sw Pacific Hwy Ste 50
Tigard, OR 97223
Phone
(503) 899-9699

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-01-06

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