Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan B. Wilson, MD

Individual provider Emergency Medicine Physician · NPI 1447364104

Ethan B. Wilson, MD is an Emergency Medicine Physician in Corvallis, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone: (541) 768-5021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 11896 (OR)

Record details

NPI number1447364104
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 19, 2006
Last updated in NPPESNovember 12, 2007
Mailing addressPo Box 48068, Jacksonville, FL 32247-8068

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