Wilson, Geoffrey M
Wilson, Geoffrey M is an individual health care provider with primary practice located at 9427 Sw Barnes Rd Ste 498, Portland OR 97225-6652. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Wilson, Geoffrey M can be contacted via phone (503) 216-0900.Contact Information
Primary practice address
9427 Sw Barnes Rd Ste 498
Portland OR 97225-6652
Phone: (503) 216-0900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD19468 | Oregon |
Profile Details
| NPI number | 1336185438 |
|---|---|
| LBN Legal business name | Wilson, Geoffrey M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Oct 20th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336185438 | NPPES |
| Oregon | MEDICAID | 073796 | |
| Oregon | Other | P00865982 | |
| Oregon | MEDICAID | 8185712 |
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