Individual provider · Type 1 NPI

Jasmine River Wilder

Mental Health Counselor · Sherwood, OR

NPI number 1780363689 Active

Practice location

12150 SW Westfall Rd
Sherwood, OR 97140-7207

Call (503) 610-3202 Map

Mailing address

502 NE Roselawn St
Portland, OR 97211-3828

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1780363689

Jasmine River Wilder's National Provider Identifier is 1780363689, issued on Jul 17, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sherwood, OR. The record was last updated on Jul 17, 2023.