Individual provider · Type 1 NPI

Patrick Robert Wilder

Clinical Social Worker · Portland, OR

NPI number 1164532230 Active

Practice location

3500 N Interstate Ave
Portland, OR 97227-1196

Call (503) 285-9321 Map

Mailing address

420 NW 11th Ave, #702
Portland, OR 97209-2957

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL3599 (OR)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1164532230

Patrick Robert Wilder's National Provider Identifier is 1164532230, issued on Aug 30, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.