Jessica L Wilson, DO | |
1960 Nw 167th Pl Ste 100, Beaverton, OR 97006-4805 | |
(503) 672-6000 | |
Not Available |
Full Name | Jessica L Wilson |
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Gender | Female |
Speciality | Family Medicine |
Location | 1960 Nw 167th Pl Ste 100, Beaverton, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1770024697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | DO210423 (Oregon) | Primary |
Entity Name | Legacy Good Samaritan Hospital And Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780608216 PECOS PAC ID: 0547179939 Enrollment ID: O20031125000416 |
Mailing Address | Practice Location Address |
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Jessica L Wilson, DO 1960 Nw 167th Pl Ste 100, Beaverton, OR 97006-4805 Ph: () - | Jessica L Wilson, DO 1960 Nw 167th Pl Ste 100, Beaverton, OR 97006-4805 Ph: (503) 672-6000 |
Philip W Pritchard, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1881 Nw 185th Ave, Suite 300, Beaverton, OR 97006 Phone: 503-216-9300 Fax: 503-216-9339 | |
David Albert Pierce, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 15950 Sw Millikan Way, Beaverton, OR 97006 Phone: 503-646-0161 Fax: 503-221-4451 | |
Dr. Carolyn Lee Goebel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005 Phone: 503-352-6000 | |
Dr. Gerald Wendal Miller, M.D, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1960 Nw 167th Place, Suite 103, Beaverton, OR 97006 Phone: 503-466-1823 Fax: 503-466-1823 | |
Dr. Priscilla Butler, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005 Phone: 503-643-7565 | |
Vicki Lynne Reid, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005 Phone: 503-520-4863 | |
Vanessa H Mckiel, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2935 Sw Cedar Hills Blvd, Beaverton, OR 97005 Phone: 503-352-6000 |