Wilson, John Campbell

Wilson, John Campbell is an individual health care provider with primary practice located at 3550 N Interstate Ave East Interstate Medical Office - Mental Health, Portland OR 97227-1196. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Wilson, John Campbell can be contacted via phone (503) 249-3434.

Contact Information

Primary practice address
3550 N Interstate Ave East Interstate Medical Office - Mental Health Portland OR 97227-1196
Phone: (503) 249-3434
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X MD158028 Oregon
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD158028 Oregon

Profile Details

NPI number 1619292240
LBN Legal business name Wilson, John Campbell
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2010
Last updated Feb 1st, 2022 - about 3 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.

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