Individual provider · Type 1 NPI

Maryjane Wilt, LPC

Mental Health Counselor · Portland, OR

NPI number 1003106881 Active

Practice location

212 NE 80th Ave
Portland, OR 97213-7016

Call (971) 255-1559 Map

Fax (971) 255-0339

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC2002 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1003106881

Maryjane Wilt, LPC's National Provider Identifier is 1003106881, issued on Apr 13, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Oct 28, 2025.