Individual provider · Type 1 NPI

Ann Elaine Wilson, DC

Chiropractor · Portland, OR

NPI number 1093911679 Active

Practice location

4410 NE Fremont St
Portland, OR 97213-1154

Call (503) 249-0114 Map

Fax (503) 249-5638

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X27 2903 (OR)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1093911679

Ann Elaine Wilson, DC's National Provider Identifier is 1093911679, issued on Jun 21, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.