Organization
KAROLE H WILSON D.M.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAROLE H WILSON D.M.D. PC (DOCTOR)
(503) 245-1915
Entity
Organization
Contact information
Practice address
9370 SW GREENBURG RD STE T, PORTLAND, OR 97223-5408
(503) 245-1915
(503) 245-5956
Mailing address
9370 SW GREENBURG RD STE T, PORTLAND, OR 97223-5408
(503) 245-1915
(503) 245-5956
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7753
OR
Other
Enumeration date
07/22/2006
Last updated
08/22/2020
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