MR. MICHAEL E. WILSON DO NPI 1629052238

NPI Information

  • NPI: 1629052238
  • Provider Name: MR. MICHAEL E. WILSON, DO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 12360 SE SUNNYSIDE RD
    CLACKAMAS, OR
    ZIP 97015
  • Phone: (503) 659-4988

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NPI Details

MR. Michael E. Wilson, DO is a family medicine in Clackamas, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MR. Michael E. Wilson, DO NPI is 1629052238. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12360 SE SUNNYSIDE RD
CLACKAMAS, OR
ZIP 97015-320
Phone: (503) 659-4988
Fax: (503) 698-4018

The enumeration date for this NPI number is 12/6/2005 and was last updated on 8/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineDO18900OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1079983MEDICAIDOREGON
2P00036570OTHEROREGONRR MEDICARE
3G26882MEDICARE UPINOREGON
4111838MEDICARE PINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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