Wilson, Richard Alan
Wilson, Richard Alan is an individual health care provider with primary practice located at 885 Mission Street Se , Salem OR 97302. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Wilson, Richard Alan can be contacted via phone (503) 585-5585.Contact Information
Primary practice address
885 Mission Street Se
Salem OR 97302
Phone: (503) 585-5585
Fax: (503) 587-7823
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD13790 | Oregon |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | MD13790 | Oregon |
Profile Details
| NPI number | 1265433866 |
|---|---|
| LBN Legal business name | Wilson, Richard Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Nov 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265433866 | NPPES |
| Oregon | Other | 060046918 | RAILROAD MEDICARE |
| Oregon | MEDICAID | 286138 | RAILROAD MEDICARE |
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