Robert Wilson
Robert Wilson is a Registered Dietetic Technician in Portland, Oregon. Licensed in Illinois. Registered with an NPI since 2014.
- Licensed in
- IL
- In the registry since
- 2014
Practice location Address checks out
7201 N Interstate AvePortland, OR 97217-5523
Phone: (503) 240-4088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietetic Technician (primary) | Taxonomy 136A00000X · Licence 525079 (IL) |
|---|
Record details
| NPI number | 1831506815 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 22, 2014 |
| Last updated in NPPES | July 22, 2014 |
| Mailing address | 7201 N Interstate Ave, Portland, OR 97217-5523 |