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1841675709
JESSICA ELLEN WILSON
PORTLAND, OR
NPI
1841675709
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OR 2617)
Enumeration Date
2015-07-21
Last Update Date
2015-11-11
Business Address
Dr. JESSICA ELLEN WILSON M.S., Psy.D.
4004 SE WOODSTOCK BLVD
PORTLAND, OR 97202-7662
Phone number: 503-777-0444
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Mailing Address
Dr. JESSICA ELLEN WILSON M.S., Psy.D.
10115 SE BELL AVE
MILWAUKIE, OR 97222-2533
Phone number: 702-540-1819
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