Individual
DR. KAROLE H WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D., PC
Contact information
Practice address
9370 SW GREENBURG RD STE T, PORTLAND, OR 97223-5408
(503) 245-1915
(503) 245-5956
Mailing address
9370 SW GREENBURG RD STE T, PORTLAND, OR 97223-5408
(503) 245-1915
(503) 245-5956
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7753
OR
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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