Organization
EAR MEDICAL GROUP A PC
Active
Other names
Wilson Ear Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID F WILSON M.D. (OWNER)
(503) 227-3666
Entity
Organization
Contact information
Practice address
911 NW 18TH AVE, PORTLAND, OR 97209-2324
(503) 227-3666
(503) 227-2234
Mailing address
911 NW 18TH AVE, PORTLAND, OR 97209-2324
(503) 227-3666
(503) 227-2234
Taxonomy
Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
MD07645
OR
207YX0901X
Otology & Neurotology Physician
Primary
MD 06745
OR
Other
Enumeration date
07/26/2007
Last updated
03/04/2009
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