Individual
KIRSTIE LAUREN WILSON-PANUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 N GRAHAM ST STE 550, PORTLAND, OR 97227-2010
(503) 284-5220
(503) 284-4971
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
264220-1
NY
207V00000X
Obstetrics & Gynecology Physician
Primary
MD171212
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2047045
—
WA
05
—
500690961
—
OR
Enumeration date
03/29/2012
Last updated
11/11/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us