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Kelley Wilson, DMD
NPI 1942224332 · on the registry since 2006
Practice
- Address
- 5025 Se 28th Ave
Portland, OR 97202 - Phone
- (503) 238-4418
- Fax
- (503) 238-0360
- Organisation at this address
- Kaiser Dental
Kaiser Foundation Health Plan Of The NorthwestInferred from a shared address, not stated in the registry. - Clinicians at this address
- 26
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Also registered as
- Dentist
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-09-07
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