BENJAMIN R. WILSON, MD, PC
Radiology at Bellevue St, Salem, OR

License number
Oregon 12349
Category
Radiology
Type
Vascular Surgery
Owner
Name: DR. BENJAMIN WILSON MD
Title: PRESIDENT
Phone: (503) 399-0644
Address
Address
700 Bellevue St SUITE 240, Salem, OR 97301
National Provider ID: 1174756605
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BENJAMIN R. WILSON, M.D., PC

700 Bellevue St STE 240, Salem, OR 97301

Industry:
Medical Doctor's Office
Doing business as:
Benjamin R Wilson MD
Registration:
Oct 1, 1986
Phone:
(503) 399-8105 (Phone)
State ID:
4823183
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Owners:
Benjamin R. Wilson (Owner, Medical Doctor, President),Diana K. Aby-Daniel (Physician Assistant),Rosemary Chandler (Medical Assistant),...
Agent:
Benjamin Rwilson,700 Bellevue St SE SUITE 240, Salem, OR 97301 (Physical)

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