Micah James Wilson, NP

NPI #1760779904 in Ontario, Oregon

Provider Information

NPI Number
1760779904
Entity Type
Individual
Name
Micah James Wilson, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
NP
Enumeration Date
Jul 8, 2011
Last Updated
Jul 8, 2011

Practice Location

Address
1050 SW 3RD AVE
Address 2
STE 3200
State
Oregon
ZIP Code
97914-2193
Phone
(541) 881-7370

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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