PATRICK ROBERT WILDER

PORTLAND, OR
NPI1164532230
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L3599)
Enumeration Date2006-08-30
Last Update Date2007-07-08
Business Address
-- PATRICK ROBERT WILDER
3500 N INTERSTATE AVE
PORTLAND, OR 97227-1196
Phone number: 503-285-9321
Mailing Address
-- PATRICK ROBERT WILDER
420 NW 11TH AVE #702
PORTLAND, OR 97209-2957
Phone number: 503-331-9493
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