Wilson, Michael E.

Wilson, Michael E. is an individual health care provider with primary practice located at 12360 Se Sunnyside Rd , Clackamas OR 97015-9320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wilson, Michael E. can be contacted via phone (503) 659-4988.

Contact Information

Primary practice address
12360 Se Sunnyside Rd Clackamas OR 97015-9320
Phone: (503) 659-4988
Fax: (503) 698-4018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO18900 Oregon

Profile Details

NPI number 1629052238
LBN Legal business name Wilson, Michael E.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Aug 2nd, 2010 - about 15 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 1629052238 NPPES
Oregon Other P00036570 RR MEDICARE
Oregon MEDICAID 079983 RR MEDICARE

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