IndividualActive
Wilson Vediner
NPI 1992689160 · Mental Health Counselor · Portland, OR
Wilson Vediner is a Mental Health Counselor provider in Portland, OR (NPI 1992689160).
Provider details
- NPI number
- 1992689160
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- R11630 (OR)
Practice location
8448 Se Brooklyn St
Portland, OR 97266-1541
Phone: (541) 301-1062
Street-level locationGet directions
Mailing address
8448 Se Brooklyn St
Portland, OR 97266-1541
Registry dates
- Enumerated
- 2025-08-01
- Last updated
- 2025-08-01
- Certified
- 2025-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.