Search › Oregon › 376K00000X
Wilson Kisambira
NPI 1972319945 · on the registry since 2024 · sole proprietor
Practice
- Address
- 19824 Sw 72nd Ave Ste 202
Tualatin, OR 97062 - Phone
- (781) 309-8976
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Also registered as
- 101YM0800X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-10
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