person
Johanna Marcela Wilson
Student in an Organized Health Care Education/Training Program in Portland, Oregon
NPI 1437876281

Johanna Marcela Wilson is a Student in an Organized Health Care Education/Training Program based in Beaverton, OR. Johanna Marcela Wilson practices in Portland, OR. The NPI Number for Johanna Marcela Wilson is 1437876281 and holds a License No. (Oregon).

The current practice location address for Johanna Marcela Wilson is 3181 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 503-258-7074.

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 97003-2775
person
Provider Profile Details
NPI Number
1437876281
Provider Name
Johanna Marcela Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3181 Sw Sam Jackson Park Rd, Portland, OR, 97003-2775
Phone Number
503-258-7074
Fax Number
Provider Enumeration Date
10/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-258-7074
Fax Number
person
Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-258-7074
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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