JUSTIN WILSON (NPI# 1275165615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275165615 |
| Entity Type | Individual |
| Full Name | JUSTIN WILSON |
| Credential | BS QP |
| Practice Address |
15544 S Clackamas River Dr Oregon City OR 97045-9490 |
| Practice Telephone | 5036353416 |
| Mailing Telephone | 5036353416 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285021071 | Justin Alan Wilson | Specialist/Technologist, Other | 1015 E 32nd Street Suite 101, Austin, TX 78705 | 2015-04-20 |
| 1093138141 | Justin Adam Wilson | Registered Nurse | 2815 Sherbourne Ave, A, Nashville, TN 37204-2641 | 2014-01-27 |
| 1316249493 | Justin Andrew Wilson | Military Health Care Provider | 1st Marine Special Operations Battalion, Medical Department, Camp Pendleton, CA 92055-5341 | 2010-11-23 |
| 1447202098 | Justin Wilson | Physical Therapist | 1580 N Fiesta Blvd, Suite 102, Gilbert, AZ 85233-1032 | 2006-05-16 |
| 1831161850 | Justin B. Wilson | Internal Medicine | 59 Koch Ave, Morris Plains, NJ 07950-4400 | 2006-02-03 |
| 1861487340 | Justin Blake Wilson | Pharmacist | 1212a S Douglas Blvd, Midwest City, OK 73130-5213 | 2005-09-12 |
| 1679117428 | Justin Wilson | Chiropractor | 1637 S Market Blvd, Chehalis, WA 98532-3826 | 2019-11-05 |
| 1003472739 | Justin Wilson | Counselor | 3125 E 7th St, Long Beach, CA 90804-4932 | 2019-05-17 |
| 1417420704 | Justin Wilson | Nurse Practitioner | 408 Clark St Ne, Cullman, AL 35055-1953 | 2019-01-09 |
| 1801337944 | Justin K. Wilson | Nurse Practitioner | 201 Lyons Ave, Newark, NJ 07112-2027 | 2017-03-08 |
| Street Address |
15544 S CLACKAMAS RIVER DR |
| City | OREGON CITY |
| State | OR |
| Zip Code | 97045-9490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710241898 | Melanie A Wyckoff | Counselor | 15544 S Clackamas River Dr, Oregon City, OR 97045-9490 | 2012-07-03 |
| 1629543558 | La'kim Denise Johnson | Community/Behavioral Health | 15544 S Clackamas River Dr, Oregon City, OR 97045-9490 | 2018-10-08 |
| 1073010872 | Michelle Debelis | Counselor | 15544 S Clackamas River Dr, Oregon City, OR 97045-9490 | 2018-04-09 |
| 1194236463 | Catherine Elizabeth Weiland | Counselor | 15544 S Clackamas River Dr, Oregon City, OR 97045-9490 | 2017-10-13 |
| 1841700366 | Kelli Grace Knudsen | Counselor | 15544 S Clackamas River Dr, Oregon City, OR 97045-9490 | 2017-10-11 |
| 1326558776 | Madelyn Smith | Counselor | 15544 S Clackamas River Dr, Oregon City, OR 97045-9490 | 2017-10-11 |
| 1528508868 | Andalusia Cappellano | Counselor | 15544 S Clackamas River Dr, Oregon City, OR 97045-9490 | 2017-03-06 |
| 1982143731 | Spencer Carroll Dowd | Counselor | 15544 S Clackamas River Dr, Oregon City, OR 97045-9490 | 2017-02-13 |
| 1619413036 | Nathaly Pretell | Counselor | 15544 S Clackamas River Dr, Oregon City, OR 97045-9490 | 2017-01-09 |
| 1790220374 | Tyler Krzyzaniak | Counselor | 15544 S Clackamas River Dr, Oregon City, OR 97045-9490 | 2017-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528625621 | Dylan Wile | Physical Therapist | 19721 Or 213, Oregon City, OR 97045 | 2019-05-23 |
| 1952871576 | April Saylor | Dental Hygienist | 15530 S. Morel Dr, Oregon City, OR 97045 | 2018-11-27 |
| 1598251688 | Sara Noelle Wetten | Dental Assistant | 1900 Mclouglin Blvd #68, Oregon City, OR 97045 | 2018-07-02 |
| 1649761941 | Carol Ann Cranfill | Specialist | 1001 Molalla Ave. Ste 206, Oregon City, OR 97045 | 2018-05-22 |
| 1790286029 | Kathleen Walker | Registered Nurse | 110 Beaverceek Rd., Oregon City, OR 97045 | 2018-02-22 |
| 1174032429 | Amanda Brannin | Dental Hygienist | 15018 Pebble Beach Dr, Oregon City, OR 97045 | 2017-09-28 |
| 1003332669 | Clackamas Medical Supplies | Durable Medical Equipment & Medical Supplies | 2050 Beavercreek Rd. Ste 101-385, Oregon, OR 97045 | 2017-08-16 |
| 1154870129 | Staci S Meador | Nurse Practitioner | 1508 Division St Ste 200, Oregon City, OR 97045 | 2016-10-01 |
| 1821541939 | Samuel R. Sabo | General Practice | 18171 Waldow Rd., Oregon City, OR 97045 | 2016-07-26 |
| 1619339967 | Carly Chambers | Physical Therapist | 1630 S Beavercreeak Rd, Suite A, Oregon City, OR 97045 | 2016-03-25 |
| Find all providers in zip 97045 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619511169 | Kelly Lafferty | Counselor | 621 8th St, Oregon City, OR 97045-1939 | 2019-10-28 |
| 1659834638 | Jennifer Rocks | Counselor | 1107 7th St, Oregon City, OR 97045-2407 | 2019-04-08 |
| 1083189583 | Shannon Hardman | Counselor | 995 S End Rd, Oregon City, OR 97045-3469 | 2018-10-11 |
| 1528533106 | Kathleen Ramage | Counselor | 996 S End Rd, Oregon City, OR 97045-3416 | 2018-10-10 |
| 1013411594 | Patricia Marie Jordan | Counselor | 21004 S Highway 213, Oregon City, OR 97045-9192 | 2018-03-20 |
| 1336509884 | Janohn Marria | Counselor | 15544 Clackamas Rvr Dr, Oregon City, OR 97045-9490 | 2016-02-25 |
| 1679942700 | Sarah Maddox | Counselor | 19665 S Lyons Rd, Oregon City, OR 97045-9623 | 2015-09-18 |
| 1982093332 | Elizabeth Spiers | Counselor | 15544 S Clackamas River Dr., Oregon City, OR 97045 | 2015-01-22 |
| 1861829533 | Josh Martin Dorfner | Counselor | 15544 S Clackamas River Rd, Oregon City, OR 97045-9490 | 2013-09-26 |
| 1003154279 | Ellise D Parr | Counselor | 15544 Clackamas River Dr, Oregon City, OR 97045-9490 | 2013-01-23 |
| Find all providers in OREGON CITY | ||||
| City | OREGON CITY |
| Zip Code | 97045 |
Please comment or provide details below to improve the information on JUSTIN WILSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.