Individual
COURTNEY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2825 EAST BARNETT ROAD, MEDFORD, OR 97504-8332
(541) 789-7000
Mailing address
100 EAST MAIN STREET, SUITE C, MEDFORD, OR 97501-6041
(541) 789-5516
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD153347
OR
Other
Enumeration date
11/11/2008
Last updated
07/19/2011
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