Individual
DR. ROBERT JOSEPH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15755 SW SEQUOIA PKWY, SUITE 200, TIGARD, OR 97224-7166
(503) 639-6002
(503) 639-1403
Mailing address
15755 SW SEQUOIA PKWY, SUITE 200, TIGARD, OR 97224-7166
(503) 639-6002
(503) 639-1403
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD13248
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457353179
NPI
OR
05
—
267260
—
OR
Enumeration date
08/12/2005
Last updated
04/07/2015
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