Robert Wilson

NPI #1831506815 in Portland, Oregon

Provider Information

NPI Number
1831506815
Entity Type
Individual
Name
Robert Wilson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietetic Technician, Registered
Enumeration Date
Jul 22, 2014
Last Updated
Jul 22, 2014

Practice Location

Address
7201 N INTERSTATE AVE
State
Oregon
ZIP Code
97217-5523
Phone
(503) 240-4088

Specialties & Taxonomy Codes

Specialty
Dietetic Technician, Registered

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