# KAROLE H WILSON D.M.D., PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902827199
- **Authorized official:** DR. KAROLE H WILSON D.M.D. PC (DOCTOR)
- **Authorized official phone:** (503) 245-1915

## Contact information

- **Practice address:** 9370 SW GREENBURG RD STE T, PORTLAND, OR 97223-5408
- **Practice address phone:** (503) 245-1915
- **Practice address fax:** (503) 245-5956
- **Mailing address:** 9370 SW GREENBURG RD STE T, PORTLAND, OR 97223-5408
- **Mailing address phone:** (503) 245-1915
- **Mailing address fax:** (503) 245-5956

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 7753 | OR | Yes |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 08/22/2020