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MR. MICHAEL E. WILSON DO
NPI 1629052238
Family Medicine in Clackamas, OR

Active since December 06, 2005
12360 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(503) 659-4988(503) 698-4018 Get Directions Write a Review

NPPES record last updated: August 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael E. Wilson Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL E. WILSON DO (NPI 1629052238) is an individual family medicine provider in Clackamas, Oregon, licensed in Oregon (DO18900) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1629052238
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. MICHAEL E. WILSONCredential: DO
Location Address12360 SE SUNNYSIDE RDClackamas, OR 97015-9320
Mailing AddressPo Box 22075Milwaukie, OR 97269-2075 · (503) 659-4777 · Fax (503) 652-5223
Phone(503) 659-4988
Fax(503) 698-4018
Sole ProprietorNo
Enumeration DateDecember 6, 2005
Last NPPES UpdateAugust 2, 2010
✔ NPI 1629052238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · DO18900
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12360 SE SUNNYSIDE RD, Clackamas, OR 97015
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Other Identifiers 4

Medicaid079983OR
OtherP00036570OR · Rr Medicare
Medicare UPING26882OR
Medicare PIN111838OR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLAIRISA A PRETTYMAN CMA
Technician
12360 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 303-4000
MELISSA SUZANNE VALENZUELA
Counselor (Addiction (Substance Use Disorder))
12360 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 303-4000
MRS. CAROLINE KEZIAH THIONGO
Nurse Practitioner (Psychiatric/Mental Health)
12360 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 303-4000
MICHELLE LYNN KERRON
Counselor (Addiction (Substance Use Disorder))
12360 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 303-4000
CASCADIA HEALTH
Clinic/Center (Primary Care)
12360 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 303-4000
MR. MOSES J. GALLEGOS DO
Family Medicine
12360 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 659-4988
MS. PATRICIA E. GALLEGOS DO
Family Medicine
12360 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 659-4988
LISA CHARLENE DAVIS
Case Manager/Care Coordinator
12360 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 303-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Wilson's NPI number?

The NPI number for Michael Wilson is 1629052238. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Where is Michael Wilson located?

Michael Wilson practices at 12360 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (503) 659-4988.

What is Michael Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Michael Wilson was last updated on August 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.