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Contact Information

WEBB C WILSON, DO
1002 BELLEVUE ST SE
SALEM, OR97301
 Phone: 503-814-5554
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for WEBB C WILSON · (Male)

NPI Number 1639371966
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/31/2007
Last updated 05/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OR License # DO157451
  • TN License # 20700000X
  • Other BP1-0026737 INSTITUTIONAL PERMIT
  • TN Other 2012 TENNESSEE MEDICAL LICENSE
  • TX Other M8432 TEXAS MEDICAL LICENSE
Hospital affiliation(s)
  • SALEM HOSPITAL - (Acute Care)
    890 OAK STREET, SE
    SALEM, OR 97301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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