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1649716267
GARRETT WILSON
PORTLAND, OR
NPI
1649716267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA180901)
Enumeration Date
2017-01-07
Last Update Date
2021-03-25
Business Address
GARRETT WILSON PA
4805 NE GLISAN ST STE 11N
PORTLAND, OR 97213-2933
Phone number: 503-215-2300
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Mailing Address
GARRETT WILSON PA
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number:
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