Wilson, Michael A

Wilson, Michael A is an individual health care provider with primary practice located at 9427 Sw Barnes Rd Ste 498, Portland OR 97225-6652. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Wilson, Michael A 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:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD15370 Oregon
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD00049331 Washington
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD15370 Oregon

Profile Details

NPI number 1871539973
LBN Legal business name Wilson, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Mar 25th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871539973 NPPES
Washington Other P00909394 RR MEDICARE
Washington Other P00848627 RR MEDICARE
Washington MEDICAID 202895 RR MEDICARE

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