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Ms. Dominique Renee Wilson, DNP,PMHNP,FNP
Psychiatric/Mental Health Nurse Practitioner in Portland, Oregon
NPI 1295019909

Dominique Renee Wilson is a Psychiatric/Mental Health Nurse Practitioner based in Portland, OR and is specialized in Psychiatric/Mental Health. Dominique Renee Wilson practices in Portland, OR and has the professional credentials of DNP,PMHNP,FNP. The NPI Number for Dominique Renee Wilson is 1295019909 and holds a License No. AP119115 (Oregon).

The current practice location address for Dominique Renee Wilson is 205 Se Spokane St Ste 300, Portland, OR and can be reached out via phone at 855-704-2004 and via fax at 503-386-3366.

Location: 205 Se Spokane St Ste 300, Portland, OR, 97202-6487
person
Provider Profile Details
NPI Number
1295019909
Provider Name
Dominique Renee Wilson
Credential
DNP,PMHNP,FNP
Provider Entity Type
Individual
Gender
Female
Address
205 Se Spokane St Ste 300, Portland, OR, 97202-6487
Phone Number
855-704-2004
Fax Number
503-386-3366
Provider Enumeration Date
09/30/2011
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
205 Se Spokane St Ste 300
City
State
Zip
97202-6487
Phone Number
855-704-2004
Fax Number
503-386-3366
person
Provider Business Mailing Address Details
Address
205 Se Spokane St Ste 300
City
State
Zip
97202-6487
Phone Number
855-704-2004
Fax Number
503-386-3366
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP61131624 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP119115 (Texas)
Definition
Definition to come...
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