Individual provider · Type 1 NPI
Wilson Vediner
Mental Health Counselor · Portland, OR
NPI number
1992689160
Active
Practice location
8448 SE Brooklyn St
Portland, OR 97266-1541
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | R11630 (OR) |
Mental Health Counselor: Definition to come...
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About NPI 1992689160
Wilson Vediner's National Provider Identifier is 1992689160, issued on Aug 1, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Aug 1, 2025.