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Stephen Wilson

NPI 1447600358 · on the registry since 2016

Practice

Address
5195 Buyserie Rd Ne
Saint Paul, OR 97137
Phone
(971) 267-2127

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-06-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon