Michael Richard Wilson in Portland - Physical Medicine & Rehabilitation

Michael Richard Wilson - NPI 1932185584

Michael Richard Wilson is a Physical Medicine & Rehabilitation in Portland, Oregon. Michael Richard Wilson practices all healthcare services and medical treatments related to Physical Medicine & Rehabilitation. The NPI Number for Michael Richard Wilson is 1932185584. The last update date is 2007-07-08.

Michael Richard Wilson's current location address is 1040 Nw 22nd Ave, Portland, Oregon. You can contact this provider via phone number 5034136294 and fax number 5034137780. The mailing address for Michael Richard Wilson is 1040 Nw 22nd Ave, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Richard Wilson
Address 1040 Nw 22nd Ave, Portland, Oregon
Phone Number 5034136294
Fax Number 5034137780
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1932185584
Provider Enumeration Date 2005-12-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1040 Nw 22nd Ave
City Portland
State Oregon (OR)
Post Code 972103057
Phone Number 5034136294
Fax Number 5034137780

Provider's Primary Taxonomy Detail

Speciality Physical Medicine & Rehabilitation
Taxonomy 208100000X
Licence No DO25780
Definition:
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affectin

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
269763 OR --

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FAQs about Michael Richard Wilson

What is the unique identification code assigned to Michael Richard Wilson by the Centers for Medicare & Medicaid Services?

The Michael Richard Wilson has been issued the NPI (National Provider Identifier) 1932185584. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Michael Richard Wilson's facilities are geographically located?

The facilities of Michael Richard Wilson are physically situated at the following location: 1040 Nw 22Nd Ave, Portland, OR, 972103057.

What is Michael Richard Wilson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Michael Richard Wilson is Physical Medicine & Rehabilitation, and the corresponding taxonomy classification code for this specialized field is 208100000X.

On what date did the Michael Richard Wilson receive its 1932185584 assignment from the Centers for Medicare & Medicaid Services?

The Michael Richard Wilson was assigned its 1932185584 by the Centers for Medicare & Medicaid Services on 2005-12-15.

As of what date was the information regarding Michael Richard Wilson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Michael Richard Wilson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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