Organization
KEVIN C WILSON ND, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN C WILSON ND (OWNER)
(503) 648-0484
Entity
Organization
Contact information
Practice address
328 W MAIN ST, SUITE C, HILLSBORO, OR 97123-3967
(503) 648-0484
(503) 681-9280
Mailing address
328 W MAIN ST, SUITE C, HILLSBORO, OR 97123-3967
(503) 648-0484
(503) 681-9280
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
546
OR
261Q00000X
Clinic/Center
546
OR
Other
Enumeration date
04/07/2008
Last updated
04/07/2008
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