IndividualActive
Alexis Wilson
NPI 1134481484 · Psychologist · Portland, OR
Provider details
- NPI number
- 1134481484
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
9911 Se Mount Scott Blvd
Portland, OR 97266-6302
Phone: (503) 258-4200
Approximate (ZIP-level) locationGet directions
Mailing address
9911 Se Mount Scott Blvd
Portland, OR 97266-6302
Registry dates
- Enumerated
- 2012-06-12
- Last updated
- 2012-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.