Wilson, Ethan B.

Wilson, Ethan B. is an individual health care provider with primary practice located at 3600 Nw Samaritan Dr , Corvallis OR 97330-3737. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wilson, Ethan B. can be contacted via phone (541) 768-5021.

Contact Information

Primary practice address
3600 Nw Samaritan Dr Corvallis OR 97330-3737
Phone: (541) 768-5021
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 11896 Oregon

Profile Details

NPI number 1447364104
LBN Legal business name Wilson, Ethan B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Nov 12th, 2007 - about 18 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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