Wilson, Benjamin R

Wilson, Benjamin R is an individual health care provider with primary practice located at 465 Commercial St Ne Ste 150 , Salem OR 97301-3414. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Wilson, Benjamin R can be contacted via phone (503) 304-4358.

Contact Information

Primary practice address
465 Commercial St Ne Ste 150 Salem OR 97301-3414
Fax: (503) 304-4361
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD12349 Oregon

Profile Details

NPI number 1952499931
LBN Legal business name Wilson, Benjamin R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Apr 19th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952499931 NPPES
Oregon MEDICAID 159657

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