Active NPI
Stephanie Wilson, ED.S.
- School Psychologist
- Troutdale, OR
National Provider Identifier
1275439853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 128364
- Practice address
- 2408 SW Halsey St BLDG J
Room 5
Troutdale, OR 97060-1020 - Phone
- (503) 661-7200
- NPI assigned
- Oct 19, 2026
- Last updated
- Oct 19, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 128364 | OR | Primary |
Addresses
Primary practice location
2408 SW Halsey St BLDG J
Room 5
Troutdale, OR 97060-1020
Mailing address
2408 SW Halsey St BLDG J
Troutdale, OR 97060-1020
Phone (503) 661-7200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792368000000",
"number": "1275439853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2408 SW HALSEY ST BLDG J",
"city": "TROUTDALE",
"state": "OR",
"postal_code": "970601020",
"telephone_number": "503-661-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2408 SW HALSEY ST BLDG J",
"address_2": "ROOM 5",
"city": "TROUTDALE",
"state": "OR",
"postal_code": "970601020",
"telephone_number": "503-661-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "STEPHANIE",
"name_prefix": "Ms.",
"credential": "ED.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-19",
"last_updated": "2026-10-19",
"certification_date": "2026-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OR",
"license": "128364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troutdale, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.