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:
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Health care specialties

SpecialtyCodeLicense #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 14 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 1265433866 NPPES
Oregon Other 060046918 RAILROAD MEDICARE
Oregon MEDICAID 286138 RAILROAD MEDICARE

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