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1336185438
GEOFFREY M WILSON
PORTLAND, OR
NPI
1336185438
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: OR MD19468)
Enumeration Date
2006-06-20
Last Update Date
2020-10-20
Business Address
GEOFFREY M WILSON MD
9427 SW BARNES RD STE 498
PORTLAND, OR 97225-6652
Phone number: 503-216-0900
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Mailing Address
GEOFFREY M WILSON MD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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