Individual provider · Type 1 NPI

Jessica Ellen Wilson, M.S., PSY.D.

Clinical Psychologist · Portland, OR

NPI number 1841675709 Active

Practice location

4004 SE Woodstock Blvd
Portland, OR 97202-7662

Call (503) 777-0444 Map

Fax (503) 777-0445

Mailing address

10115 SE Bell Ave
Milwaukie, OR 97222-2533

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X2617 (OR)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1841675709

Jessica Ellen Wilson, M.S., PSY.D.'s National Provider Identifier is 1841675709, issued on Jul 21, 2015. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Portland, OR. The record was last updated on Nov 11, 2015.