Individual provider · Type 1 NPI
Wilson Real, RN, BSN
Psychiatric/Mental Health Nurse Practitioner · Portland, OR
NPI number
1629792239
Active
Practice location
3550 N Interstate Ave
Portland, OR 97227
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 10023691 (OR) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61535948 (WA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
235 other providers at this address
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About NPI 1629792239
Wilson Real, RN, BSN's National Provider Identifier is 1629792239, issued on Sep 27, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Jul 31, 2024.