Individual
JASON M WILHELMSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
351 SW 9TH ST, ONTARIO, OR 97914-2639
(541) 881-7000
Mailing address
351 SW 9TH ST, ONTARIO, OR 97914-2639
(541) 881-7000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD24430
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297568
—
OR
01
—
P00038468
RR MEDICARE
—
Enumeration date
04/27/2006
Last updated
10/18/2007
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