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The Wilson River is one of five rivers in the Tillamook Basin draining to Tillamook Bay. It encompasses approximately 194 square miles or 123,557 acres and the largest watershed of the Tillamook Bay drainage. The highest elevation point is 3,691 feet.
The river rises in the Tillamook State Forest in the mountains of northeastern Tillamook County. The river's North Fork rises in northern Tillamook County and flows south. Its South Fork rises in eastern Tillamook County and western Washington County and flows west to merge with Devils Lake Fork. Further downstream, the Wilson River receives the North Fork near Lee's Camp. It then flows southwest to Tillamook, entering the southeast end of Tillamook Bay about 3 miles (4.8 km) northwest of the city. The mouth of the river is about 1 mile (1.6 km) north of the mouth of the Trask River and slightly south of the mouth of the Kilchis River.
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