Carmen Dolores Wilson

Peer Specialist · McMinnville, OR

Individual Active NPI

NPI number 1639848013

Practice location

433 NE 17TH St Apt 7
McMinnville, OR 97128-3303
Phone
(714) 812-3992

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NPI record

NPI
1639848013
Entity type
Individual (Type 1)
Enumeration date
September 9, 2021
Last updated
July 26, 2022
Certified
July 26, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X — OR
Counselor 101Y00000X — —

Mailing address

627 NE Evans St
McMinnville, OR 97128-3923
Phone
(503) 434-7523

About Carmen Wilson

Carmen Dolores Wilson is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 433 NE 17TH St Apt 7, McMinnville, OR 97128-3303. The NPI number 1639848013 was assigned on September 9, 2021 and the record was last updated on July 26, 2022.

Frequently asked questions

What is the NPI number of Carmen Dolores Wilson?

The NPI number is 1639848013.

What is the phone number of Carmen Wilson?

The phone number listed for the practice location is (714) 812-3992.

Where is Carmen Wilson located?

433 NE 17TH St Apt 7, McMinnville, OR 97128-3303.

What is the taxonomy code for Carmen Wilson?

The primary taxonomy code is 175T00000X – Peer Specialist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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