Individual provider · Type 1 NPI

Micah James Wilson, NP

Nurse Practitioner · Ontario, OR

NPI number 1760779904 Active

Practice location

1050 SW 3rd Ave, Ste 3200
Ontario, OR 97914-2193

Fax (541) 881-7379

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X201150063NP (OR)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1760779904

Micah James Wilson, NP's National Provider Identifier is 1760779904, issued on Jul 8, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ontario, OR. The record was last updated on Jul 8, 2011.