NPI 1003112186

Pamela G Wilson, LMP

Practitioner Contractor Kent, WA

Practice location

Address: 14004 SE 202nd St, Kent, WA 98042-3017
Phone: (253) 691-0611

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence MA 00023593 (WA)

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Registry record

NPI: 1003112186
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Feb 2011
Record last updated: 28 Jun 2026

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.