NPI 1003106881

Maryjane Wilt, LPC

Practitioner Mental Health Counselor Portland, OR

Practice location

Address: 212 NE 80th Ave, Portland, OR 97213-7016
Phone: (971) 255-1559
Fax: (971) 255-0339

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence C2002 (OR)

Other Counselor providers in Oregon →

Registry record

NPI: 1003106881
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Apr 2011
Record last updated: 28 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.