Dr. Jenny Lupovici Wilson
Child Neurologist
707 Sw Gaines St
Portland
, Oregon 97239-2901
Dr. Jenny Lupovici Wilson
Child Neurologist
707 Sw Gaines St
Portland
, Oregon 97239-2901
(503) 804-6824
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About
Features
Specialties
- Child Neurologist
Languages spoken
- English
Location
First Address
- Dr. Jenny Lupovici Wilson
- 707 Sw Gaines St
- Portland, OR
- Zip : 97239-2901
- Phone : (503) 804-6824
Second Address
- Dr. Jenny Lupovici Wilson
- 707 Sw Gaines St
- Portland, OR
- Zip : 97239-2901
- Phone : (503) 494-9113
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Is Dr. Jenny Lupovici Wilson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0402X | Child Neurologist | MD162292 | OR |
| N | 2084N0402X | Child Neurologist | MD441944 | PA |
National Provider Identifier
| NPI | 1205094406 |
|---|---|
| Provider Name | Dr. Jenny Lupovici Wilson |
| First Address | Portland, OR 97239-2901 |
| Second Address | Portland, OR 97239-2901 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/05/2008 |
| Last Update Date | 21/05/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.