Wilson, Ronald Gene

Wilson, Ronald Gene is an individual health care provider with primary practice located at 1322 Ne Orenco Station Pkwy Suite 310, Hillsboro OR 97124-5424. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wilson, Ronald Gene can be contacted via phone (503) 681-9679.

Contact Information

Primary practice address
1322 Ne Orenco Station Pkwy Suite 310 Hillsboro OR 97124-5424
Phone: (503) 681-9679
Fax: (503) 844-7399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0955 Oregon

Profile Details

NPI number 1962564286
LBN Legal business name Wilson, Ronald Gene
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Jul 8th, 2007 - about 19 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 1962564286 NPPES
Oregon MEDICAID 045968

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