Peter Frederick Wilson in Gresham - Clinical
Peter Frederick Wilson - NPI 1992897490
Peter Frederick Wilson is a Clinical in Gresham, Oregon. Peter Frederick Wilson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Peter Frederick Wilson is 1992897490. The last update date is 2007-07-08.
Peter Frederick Wilson's current location address is 1217 Ne Burnside Rd, Gresham, Oregon. You can contact this provider via phone number 5036668832 and fax number 5036698641. The mailing address for Peter Frederick Wilson is 1217 Ne Burnside Rd, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Frederick Wilson |
|---|---|
| Address | 1217 Ne Burnside Rd, Gresham, Oregon |
| Phone Number | 5036668832 |
| Fax Number | 5036698641 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1992897490 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1217 Ne Burnside Rd |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 970306722 |
| Phone Number | 5036668832 |
| Fax Number | 5036698641 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1467 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 164936 | OR | -- | |
| 131734 | OR | PERSONAL MEDICARE # |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Peter Frederick Wilson by the Centers for Medicare & Medicaid Services?
The Peter Frederick Wilson has been issued the NPI (National Provider Identifier) 1992897490, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Peter Frederick Wilson is physically located?
The Peter Frederick Wilson is physically situated at the following address: 1217 Ne Burnside Rd, Gresham, OR, 970306722.
What is Peter Frederick Wilson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Peter Frederick Wilson is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
When did Peter Frederick Wilson receive its 1992897490 assignment?
The Peter Frederick Wilson was assigned its 1992897490 on 2006-09-29, which is the date when this unique identifier was issued to the organization.
When was the information regarding Peter Frederick Wilson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Peter Frederick Wilson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.