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COLLEEN ELIZABETH WILSON CTRS
NPI 1750962155
Recreation Therapist in Roseburg, OR

Active since April 16, 2021
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471(541) 440-1000 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Colleen Elizabeth Wilson Ctrs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLEEN ELIZABETH WILSON CTRS (NPI 1750962155) is an individual recreation therapist in Roseburg, Oregon, licensed in Oregon (80107) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1750962155
Entity TypeIndividualFemale
Primary Taxonomy225800000X
Provider Legal NameCOLLEEN ELIZABETH WILSONCredential: CTRS
Location Address913 NW GARDEN VALLEY BLVDRoseburg, OR 97471-6523
Mailing Address4885 Aster St Apt 90Springfield, OR 97478-6899 · (425) 953-3399
Phone(541) 440-1000
Sole ProprietorNo
Enumeration DateApril 16, 2021
NPPES CertifiedApril 16, 2021
✔ NPI 1750962155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225800000X
License✔ Licensed in OR · 80107
Definition

A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.

913 NW GARDEN VALLEY BLVD, Roseburg, OR 97471
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Other Identifiers 1

Other80107National Council For Therapeutic Recreation Certification

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRYAN D NESTRIPKE PSY.D.
Psychologist (Clinical)
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471
Douglas County (541) 440-1000
ROBERT MICHAEL LEVY MSW
Social Worker
913 NW GARDEN VALLEY BLVD, MENTAL HEALTH SERVICES
ROSEBURG, OR 97471
Douglas County (541) 440-1000
DR. TRISTINA T NGUYEN PHARM.D.
Pharmacist
913 NW GARDEN VALLEY BLVD, PHARMACY 119
ROSEBURG, OR 97471
Douglas County (541) 440-1000
TAHER M. KASHUBA LCSW
Social Worker (Clinical)
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471
Douglas County (541) 440-1000
SHELLY ROBYN FULTZ LPN
Licensed Practical Nurse
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471
Douglas County (541) 440-1260
DR. LUCINDA JANE DYKES M.D.
Pediatrics
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471
Douglas County (800) 549-8387
MS. THERESA ANN SHIPLEY-KLEIN P.T.
Physical Therapist
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471
Douglas County (541) 440-1000
ALICE COPPERS LCSW
Social Worker (Clinical)
913 NW GARDEN VALLEY BLVD
ROSEBURG, OR 97471
Douglas County (541) 440-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colleen Wilson's NPI number?

The NPI number for Colleen Wilson is 1750962155. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Where is Colleen Wilson located?

Colleen Wilson practices at 913 NW Garden Valley Blvd, Roseburg, OR 97471. The listed phone number is (541) 440-1000.

What is Colleen Wilson's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Colleen Wilson was last updated on April 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.