Maryjane Wilt
Mental Health Counselor
212 Ne 80th Ave
Portland
, Oregon 97213-7016
Maryjane Wilt
Mental Health Counselor
212 Ne 80th Ave
Portland
, Oregon 97213-7016
(971) 255-0339
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Maryjane Wilt
- 212 Ne 80th Ave
- Portland, OR
- Zip : 97213-7016
- Fax : (971) 255-0339
- Phone : (971) 255-1559
Second Address
- Maryjane Wilt
- 212 Ne 80th Ave
- Portland, OR
- Zip : 97213-7016
- Fax : (971) 255-0339
- Phone : (971) 255-1559
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FAQs
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Is Maryjane Wilt accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor | C2002 | OR |
National Provider Identifier
| NPI | 1003106881 |
|---|---|
| Provider Name | Maryjane Wilt |
| First Address | Portland, OR 97213-7016 |
| Second Address | Portland, OR 97213-7016 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2011 |
| Last Update Date | 13/04/2011 |
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.