Individual
DR. JOHN WELLS WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1590 EAST 13TH AVE., EUGENE, OR 97403-1217
(541) 346-2770
Mailing address
85100 CLOVERDALE RD, CRESWELL, OR 97426-9838
(415) 279-4670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
190110
OR
Other
Enumeration date
10/12/2006
Last updated
04/13/2020
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