William Slate Wilson, MD
Surgery in Portland, OR. Individual provider (NPI-1).
NPI number1609882109
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1609882109
- Entity type
- Individual (NPI-1)
- Name
- William Slate Wilson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | MD08244 | OR | Yes |
Practice location
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone 503-494-8372
Mailing address
220 Washington St SSalem, OR 97302-5147
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