Peter Frederick Wilson, PSY.D.

Clinical Psychologist · Gresham, OR

Individual Active NPI

NPI number 1992897490

Practice location

1217 NE Burnside Rd
Bldg B, Suite 401
Gresham, OR 97030-6722
Phone
(503) 666-8832
Fax
(503) 669-8641

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NPI record

NPI
1992897490
Entity type
Individual (Type 1)
Enumeration date
September 29, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Psychologist Primary 103TC0700X 1467 OR

Mailing address

PO Box 82819
Portland, OR 97282-0819
Phone
(503) 233-5405
Fax
(503) 233-2696

About Dr. Wilson

Peter Frederick Wilson, PSY.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 1217 NE Burnside Rd, Bldg B, Suite 401, Gresham, OR 97030-6722. The NPI number 1992897490 was assigned on September 29, 2006 and the record was last updated on July 8, 2007.

Dr. Wilson lists a license in the registry: #1467 (OR) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Peter Frederick Wilson, PSY.D.?

The NPI number is 1992897490.

What is the phone number of Dr. Wilson?

The phone number listed for the practice location is (503) 666-8832.

Where is Dr. Wilson located?

1217 NE Burnside Rd, Bldg B, Suite 401, Gresham, OR 97030-6722.

What is the taxonomy code for Dr. Wilson?

The primary taxonomy code is 103TC0700X – Clinical Psychologist.

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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