Healthcare Provider Details
I. General information
NPI: 1013824986
Provider Name (Legal Business Name): UNO PSYCH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/26/2026
Last Update Date: 09/08/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
532 PACIFIC AVENUE, SUITE C
CHEHALIS WA
98532
US
IV. Provider business mailing address
1673 S MARKET BLVD PMB119
CHEHALIS WA
98532-3826
US
V. Phone/Fax
- Phone: 907-830-7427
- Fax: 360-793-5824
- Phone: 907-830-7427
- Fax: 360-793-5098
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JAMIE
ANNE
WILSON
Title or Position: OWNER/PROVIER
Credential: DNP, ARNP, PMHNP-BC
Phone: 907-830-7427