Individual
CHRISTINA LUCILE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
940 E 5TH ST, COQUILLE, OR 97423-1699
(541) 396-3101
Mailing address
940 E 5TH ST, COQUILLE, OR 97423-1666
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD224639
OR
Other
Enumeration date
04/09/2022
Last updated
09/06/2025
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