Individual
KELLEY STEWART WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5025 SE 28TH AVE, PORTLAND, OR 97202-4445
(503) 238-4418
(503) 238-0360
Mailing address
19075 NW TANASBOURNE DR. #300, SUNSET DENTAL OFFICE, HILLBORO, OR 97124
(503) 531-1700
(503) 531-1704
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D7960
OR
1223G0001X
General Practice Dentistry
Primary
D7960
OR
Other
Enumeration date
07/27/2006
Last updated
09/07/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us