ROBERT WILSON


Address: 7201 N Interstate Ave, Portland, OR 97217-5523
Phone: 5032404088

ROBERT WILSON (NPI# 1831506815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831506815
Entity Type Individual
Full Name ROBERT WILSON
Other Name MR. ROBERT MARK WILSON
Practice Address 7201 N Interstate Ave
Portland
OR 97217-5523
Practice Telephone 5032404088
Mailing Telephone 5032404088
Enumeration Date 2014-07-22
Last Update Date 2014-07-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 136A00000X Dietetic Technician, Registered 525079 IL Dietary & Nutritional Service Providers

Other Providers ROBERT WILSON

NPI Name Taxonomy Address Enumeration
1164957668 Robert Wilson Pharmacist 11950 De Palma Rd, Corona, CA 92883-8499 2017-04-22
1487020566 Robert Wilson Acupuncturist 537 W Washington St, Marquette, MI 49855-4133 2015-08-12
1205247129 Robert Norman Wilson IIi Student in an Organized Health Care Education/Training Program Gru College of Dental Medicine, Augusta, GA 30912-0001 2014-05-13
1477971885 Robert Borden Wilson Pediatrics 2300 Hospital Dr Ste 120, Bossier City, LA 71111-2193 2014-04-02
1922362888 Robert Travis Wilson Emergency Medicine 517 Kerri Cove Ct Apt 104, Midlothian, VA 23113-6873 2012-06-26
1144589458 Robert Wilson Chiropractor 132a N Central Ave, Centerville, TN 37033 2012-05-07
1649575937 Robert George Wilson Military Health Care Provider 515 Tessentee Rd, Franklin, NC 28734 2011-01-18
1396078317 Robert Max Wilson Case Manager/Care Coordinator 618 Manzano Ne, Albuquerque, NM 87110 2009-09-09
1013140672 Robert James Wilson Dentist 1321 N Tennessee St, # 108, Mckinney, TX 75069-2142 2009-08-31
1417189994 Robert P Wilson Jr. Physical Therapist 225 Evergreeen Road, Pottstown, PA 19464 2009-08-17

Office Location

Street Address 7201 N INTERSTATE AVE
City PORTLAND
State OR
Zip Code 97217-5523

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831113646 David Russell Hill Dentist 7201 N Interstate Ave, Portland, OR 97217-5523 2006-07-26
1336703198 Vanessa Joan Grant Dental Assistant 7201 N Interstate Ave, Portland, OR 97217-5523 2019-04-26
1083102248 Antonina Kutsar Dental Assistant 7201 N Interstate Ave, Portland, OR 97217-5523 2018-04-24
1245728427 Kerri Logue Dental Assistant 7201 N Interstate Ave, Portland, OR 97217-5523 2018-04-24
1881146165 Kaiser Foundation Health Plan of The Northwest Dentist 7201 N Interstate Ave, Portland, OR 97217-5523 2016-11-02
1194172239 Cindy Brooke Firman Dietitian, Registered 7201 N Interstate Ave, Portland, OR 97217-5523 2016-05-18
1861846578 Soroush Amali Dentist 7201 N Interstate Ave, Portland, OR 97217-5523 2016-04-19
1699154302 Nancy Graham Dietitian, Registered 7201 N Interstate Ave, Portland, OR 97217-5523 2015-05-27
1003206236 Melissa Dawn Hill Counselor 7201 N Interstate Ave, Portland, OR 97217-5523 2015-01-26
1053669838 Katarzyna Teegarden Dental Hygienist 7201 N Interstate Ave, Portland, OR 97217-5523 2012-08-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326531666 Working Class Medicine LLC Clinic/Center 2133 N. Willis Blvd, Studio D, Portland, OR 97217 2018-06-12
1235643602 Autism Outreach of Oregon Occupational Therapist 10350 N Vancouver Way #1043, Portland, OR 97217 2017-11-21
1689183717 Kai-uwe H. Hahn Dmd Dba Edelweiss Dental Clinic/Center 3503 N Lombard Street, Portland, OR 97217 2017-09-20
1407308125 Occupational Health Centers of The Southwest, P.a. (tx) Clinic/Center 3449 N Anchor Street, Ste 300a, Portland, OR 97217 2016-10-28
1750740577 Sheila Amoo Adult Companion 236 N Killingworth St. Apt.b104, Portland, OR 97217 2016-02-22
1801282199 Justine Osborn Specialist 4310 N. Interstate Ave, Portland, OR 97217 2015-04-13
1578957742 Paul Buck Md, Dds, PC Clinic/Center 3332 N Lombard St, Suite C, Portland, OR 97217 2015-03-25
1295158186 Rebecca Bulleri Massage Therapist 5416 N. Maryland Ave, Portland, OR 97217 2014-01-28
1659793107 Shellmire Unlimited, P.C. Community/Behavioral Health 4134 N Vancouver Avenue, Suite 102, Portland, OR 97217 2014-01-16
1417207994 Sportland Acupuncture LLC Acupuncturist 1025 N Humboldt, Portland, OR 97217 2012-09-12
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Taxonomy Information

Taxonomy Code 136A00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietetic Technician, Registered

Taxonomy Definition

A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate’s degree at a US regionally accredited college or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Dietetic Technician, Registered -- a food and nutrition practitioner. Chicago, IL: The American dietetic association, July 1997.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912275009 Kendra J Madsen Dietetic Technician, Registered 3517 Nw Samaritan Dr Ste 200, Corvallis, OR 97330-3767 2011-12-05
1295974517 Kathleen Bosler Dietetic Technician, Registered 351 Sw 9th St, Ontario, OR 97914-2639 2009-02-10

Competitor

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City PORTLAND
Zip Code 97217

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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