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

Kelley Stewart Wilson, DMD

Individual provider Dentist · NPI 1942224332

Kelley Stewart Wilson, DMD is a Dentist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5025 SE 28th Ave
Portland, OR 97202-4445
Phone: (503) 238-4418
Fax: (503) 238-0360
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D7960 (OR)
Dentist Taxonomy 122300000X · Licence D7960 (OR)

Record details

NPI number1942224332
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 27, 2006
Last updated in NPPESSeptember 7, 2011

Other providers in Portland