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Kenneth M. Wilson, M.d., P.c.
Specialist in Salem, Oregon
NPI 1245662410

Kenneth M. Wilson, M.d., P.c. is a Specialist based in Canby, OR. Kenneth M. Wilson, M.d., P.c. practices in Salem, OR. The NPI Number for Kenneth M. Wilson, M.d., P.c. is 1245662410 and holds a License No. MD16217 (Oregon).

The current practice location address for Kenneth M. Wilson, M.d., P.c. is 700 Bellevue St Se Ste 260, Salem, OR and can be reached out via phone at 503-375-3636 and via fax at 503-375-3737.

Location: 700 Bellevue St Se Ste 260, Salem, OR, 97013-1168
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245662410
Provider Name
Kenneth M. Wilson, M.d., P.c.
Credential
Provider Entity Type
Organization
Address
700 Bellevue St Se Ste 260, Salem, OR, 97013-1168
Phone Number
503-375-3636
Fax Number
503-375-3737
Provider Enumeration Date
07/30/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
045336 05 OR
institution
Provider Business Practice Location Address Details
Address
700 Bellevue St Se Ste 260
City
Salem
State
Oregon
Zip
97301-3888
Phone Number
503-375-3636
Fax Number
503-375-3737
person
Provider Business Mailing Address Details
Address
700 Bellevue St Se Ste 260
City
Salem
State
Oregon
Zip
97301-3888
Phone Number
503-375-3636
Fax Number
503-375-3737
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD16217 (Oregon)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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