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1720181134
STEVEN JOHN WILSON
SALEM, OR
NPI
1720181134
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OR 882)
Enumeration Date
2006-09-07
Last Update Date
2007-07-08
Business Address
-- STEVEN JOHN WILSON PhD
2600 CENTER ST NE OREGON STATE HOSPITAL
SALEM, OR 97301
Phone number: 503-945-2800
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Mailing Address
-- STEVEN JOHN WILSON PhD
PO BOX 14900 OHS OFS IRS DBA OREGON STATE HOSPITAL
SALEM, OR 97309-5016
Phone number: 503-945-9840
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