Individual provider · Type 1 NPI

Johanna Marcela Wilson

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1437876281 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 258-7074 Map

Mailing address

19195 SW Teddi Rose Ct
Beaverton, OR 97003-2775

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1437876281

Johanna Marcela Wilson's National Provider Identifier is 1437876281, issued on Oct 24, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Oct 24, 2022.