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1134481484
ALEXIS DENISE WILSON
PORTLAND, OR
NPI
1134481484
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2012-06-12
Last Update Date
2012-06-12
Business Address
-- ALEXIS DENISE WILSON
9911 SE MOUNT SCOTT BLVD
PORTLAND, OR 97266-6302
Phone number: 503-258-4200
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Mailing Address
-- ALEXIS DENISE WILSON
9911 SE MOUNT SCOTT BLVD
PORTLAND, OR 97266-6302
Phone number: 503-258-4200
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