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1992897490
PETER FREDERICK WILSON
GRESHAM, OR
NPI
1992897490
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OR 1467)
Enumeration Date
2006-09-29
Last Update Date
2007-07-08
Business Address
Dr. PETER FREDERICK WILSON Psy.D.
1217 NE BURNSIDE RD BLDG B, SUITE 401
GRESHAM, OR 97030-6722
Phone number: 503-666-8832
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Mailing Address
Dr. PETER FREDERICK WILSON Psy.D.
PO BOX 82819
PORTLAND, OR 97282-0819
Phone number: 503-233-5405
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