| Willow Nichole Wilde, | |
|
28312 Mateer Rd, Gold Beach, OR 97444-9650 | |
| (541) 698-1805 | |
| Not Available |
| Full Name | Willow Nichole Wilde |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 28312 Mateer Rd, Gold Beach, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205616018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | A14739 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Nichole Wilde, 28312 Mateer Rd, Gold Beach, OR 97444-9650 Ph: (541) 698-1805 | Willow Nichole Wilde, 28312 Mateer Rd, Gold Beach, OR 97444-9650 Ph: (541) 698-1805 |
Ms. Barbara Lynne Meininger, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29821 Colvin St, Gold Beach, OR 97444 Phone: 541-247-4082 Fax: 541-247-5058 | |
Ms. Erin Kathleen Porter, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 94239 Terrace Garden Way, Gold Beach, OR 97444 Phone: 541-660-3553 | |
Rachel Hardin, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 29413 Russell St, Gold Beach, OR 97444 Phone: 541-247-6566 Fax: 541-247-6549 |