MEDICARE: CYNTHIA WILSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	CG61253334	WA

General Provider Information

NPI Number	:	1205581774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA WILSON

Provider Business Mailing Address
First Line	:	7424 BRIDGEPORT WAY W STE 305
Second Line	:
City	:	LAKEWOOD
State	:	WA
Zip	:	98499-8135
Country	:	US
Telephone Number	:	253-246-6820
Fax Number	:

Provider Business Practice Location Address
First Line	:	7424 BRIDGEPORT WAY W STE 305
Second Line	:
City	:	LAKEWOOD
State	:	WA
Zip	:	98499-8135
Country	:	US
Telephone Number	:	253-246-6820
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2022
Last Update Date	:	02/14/2022

Similar Medicare Providers

1992839906 — JOY P. RUIZ-MOLLESTON, M.D., PS
Practice Location Address:

7424 BRIDGEPORT WAY W STE 301
LAKEWOOD, WA
98499-8135

Practice Phone: 253-474-5141
Practice Fax: 253-474-5507

1922289032 — DR JOSEPH PAUL CLABOTS
Practice Location Address:

7424 BRIDGEPORT WAY W STE 307
LAKEWOOD, WA
98499-8135

Practice Phone: 253-588-3149
Practice Fax: 253-588-2688

1356738694 — NORTHWEST PAIN RELIEF CENTERS LLC
Practice Location Address:

7424 BRIDGEPORT WAY W STE 305
LAKEWOOD, WA
98499-8135

Practice Phone: 253-472-9669
Practice Fax: 253-473-2904

1558718684 — RAFAEL MEDICUS CLINIC, CORP.
Practice Location Address:

7424 BRIDGEPORT WAY WEST , SUITE 301
LAKEWOOD, WA
98499-8135

Practice Phone: 253-474-5141
Practice Fax: 253-474-5507

1124638895 — CASEY M. CARTER
Practice Location Address:

7424 BRIDGEPORT WAY W STE 305
LAKEWOOD, WA
98499-8135

Practice Phone: 253-246-6820
Practice Fax:

1801496021 — JESSICA GOVAN
Practice Location Address:

7424 BRIDGEPORT WAY W STE 305
LAKEWOOD, WA
98499-8135

Practice Phone: 253-246-6820
Practice Fax:

Directions to “ CYNTHIA WILSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.