Individual provider Active NPI

Stephanie Wilson, ED.S.

  • School Psychologist
  • Troutdale, OR
National Provider Identifier
1275439853
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
128364 Issued in OR
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.