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1629052238
MICHAEL E. WILSON
CLACKAMAS, OR
NPI
1629052238
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR DO18900)
Enumeration Date
2005-12-06
Last Update Date
2010-08-02
Business Address
Mr. MICHAEL E. WILSON DO
12360 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9320
Phone number: 503-659-4988
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Mailing Address
Mr. MICHAEL E. WILSON DO
PO BOX 22075
MILWAUKIE, OR 97269-2075
Phone number: 503-659-4777
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