DR. JESSICA ELLEN WILSON M.S., PSY.D.
NPI 1841675709
Psychologist - Clinical in Portland, OR

Active since July 21, 2015
4004 SE WOODSTOCK BLVD, PORTLAND, OR 97202(503) 777-0444(503) 777-0445 Get Directions Write a Review

NPPES record last updated: November 11, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jessica Ellen Wilson M.s., Psy.d. NPPES

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

DR. JESSICA ELLEN WILSON M.S., PSY.D. (NPI 1841675709) is an individual clinical provider in Portland, Oregon, licensed in Oregon (2617) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1841675709
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JESSICA ELLEN WILSONCredential: M.S., PSY.D.
Location Address4004 SE WOODSTOCK BLVDPortland, OR 97202-7662
Mailing Address10115 Se Bell AveMilwaukie, OR 97222-2533 · (702) 540-1819 · Fax (530) 777-0445
Fax(503) 777-0445
Sole ProprietorYes
Enumeration DateJuly 21, 2015
Last NPPES UpdateNovember 11, 2015
NPI 1841675709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in OR · 2617
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

4004 SE WOODSTOCK BLVD, Portland, OR 97202

Other Identifiers 1

Other47-4503885OR · Irs Ein

Accepted Insurance

Other Providers at the Same Location NPPES 19

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

Acupuncturist
4004 SE WOODSTOCK BLVD
PORTLAND, OR 97202
Counselor (Professional)
4004 SE WOODSTOCK BLVD, SUITE 3
PORTLAND, OR 97202
Social Worker (Clinical)
4004 SE WOODSTOCK BLVD
PORTLAND, OR 97202
Midwife
4004 SE WOODSTOCK BLVD
PORTLAND, OR 97202
Chiropractor
4004 SE WOODSTOCK BLVD
PORTLAND, OR 97202
Chiropractor
4004 SE WOODSTOCK BLVD
PORTLAND, OR 97202
Chiropractor
4004 SE WOODSTOCK BLVD
PORTLAND, OR 97202
Naturopath
4004 SE WOODSTOCK BLVD
PORTLAND, OR 97202

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 Jessica Wilson's NPI number?

The NPI number for Jessica Wilson is 1841675709. It was assigned to this individual provider in the NPPES registry on July 21, 2015.

Where is Jessica Wilson located?

Jessica Wilson practices at 4004 SE Woodstock Blvd, Portland, OR 97202. The listed phone number is (503) 777-0444.

What is Jessica Wilson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Jessica Wilson accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jessica Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Wilson was last updated on November 11, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.