Steven John Wilson PHD

NPI 1720181134 - Psychologist - 103TC0700X

NPI Details
NPI 1720181134
Gender Male
Enumeration Date 09/07/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2600 CENTER ST NE
OREGON STATE HOSPITAL
SALEM OR, 97301, US
Phone (503) 945-2800
Fax
Business Location
PO BOX 14900
OHS OFS IRS DBA OREGON STATE HOSPITAL
SALEM OR, 97309-5016, US
Phone (503) 945-9840
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Oregon
License Number 882
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According to our database, Steven John Wilson PHD NPI is 1720181134, taxonomy code is 103TC0700X and license number is 882, license state is located at Oregon. Steven John Wilson PHD physically located at 2600 Center St Ne, Salem OR, 97301. NPI Number Steven John Wilson PHD has the Individual type.

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1720181134 NPI number is provided on an as is basis without warranty of any kind. 1720181134 is maintained by the National Plan & Provider Enumeration System. The contents of Steven John Wilson PHD are for informational purposes only.