Benjamin R. Wilson, Md, Pc

LBN: Benjamin R. Wilson, Md, Pc
Benjamin R. Wilson, Md, Pc is an health care organization with primary practice located at 465 Commercial St Ne Ste 150 , Salem OR 97301-3414. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Benjamin R. Wilson, Md, Pc can be contacted via phone (503) 304-4358, or through Wilson, Benjamin via phone (503) 851-8908.

Contact Information

Primary practice address
465 Commercial St Ne Ste 150 Salem OR 97301-3414
Phone: (503) 304-4358
Fax: (503) 304-4361
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Benjamin Doctor of Medicine (MD)
Phone: (503) 851-8908

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1174756605
LBN Legal business name Benjamin R. Wilson, Md, Pc
DBA Doing business as
Authorized official Wilson, Benjamin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2009
Last updated Apr 19th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174756605 NPPES
Oregon MEDICAID 15965-7

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