Wilson, Robert Joseph

Wilson, Robert Joseph is an individual health care provider with primary practice located at 15755 Sw Sequoia Pkwy Suite 200, Tigard OR 97224-7166. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Wilson, Robert Joseph can be contacted via phone (503) 639-6002.

Contact Information

Primary practice address
15755 Sw Sequoia Pkwy Suite 200 Tigard OR 97224-7166
Fax: (503) 639-1403
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD13248 Oregon

Profile Details

NPI number 1457353179
LBN Legal business name Wilson, Robert Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Apr 7th, 2015 - about 10 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 1457353179 NPPES
Oregon Other 1457353179 NPI
Oregon MEDICAID 267260 NPI

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