ROBERT WILSON

PORTLAND, OR
NPI1831506815
Professional NameROBERT MARK WILSON
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy136A00000X Dietetic Technician, Registered
(Licence: IL  525079)
Enumeration Date2014-07-22
Last Update Date2014-07-22
Business Address
-- ROBERT WILSON
7201 N INTERSTATE AVE
PORTLAND, OR 97217-5523
Phone number: 503-240-4088
Mailing Address
-- ROBERT WILSON
7201 N INTERSTATE AVE
PORTLAND, OR 97217-5523
Phone number: 503-240-4088