MS. GAIL RENEE WILSON NPI 1821205246

NPI Information

  • NPI: 1821205246
  • Provider Name: MS. GAIL RENEE WILSON
  • Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
  • Specialization: Substance Abuse Treatment, Children
  • Entity Type: Individual
  • Address: 2614 SE 115TH AVE APT 2
    PORTLAND, OR
    ZIP 97266
  • Phone: (503) 757-4245

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NPI Details

MS. Gail Renee Wilson is a substance abuse treatment and children substance abuse rehabilitation facility in Portland, OR. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. MS. Gail Renee Wilson NPI is 1821205246. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2614 SE 115TH AVE APT 2
PORTLAND, OR
ZIP 97266-176
Phone: (503) 757-4245

The enumeration date for this NPI number is 5/16/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children3245S0500XOREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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