NPI 1750962155

Colleen Elizabeth Wilson, CTRS

Practitioner Recreation Therapist Roseburg, OR

Practice location

Address: 913 NW Garden Valley Blvd, Roseburg, OR 97471-6523
Phone: (541) 440-1000
Mailing address: 4885 Aster St APT 90, Springfield, OR 97478-6899

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence 80107 (OR)

Other Recreation Therapist providers in Oregon →

Registry record

NPI: 1750962155
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Apr 2021
Record last updated: 16 Apr 2021

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.