DR. AMANDA LOUISE WILSON MD
NPI 1821066085
Internal Medicine - Addiction Medicine in Gig Harbor, WA

Active since March 14, 2006
4016 52ND AVENUE CT NW, GIG HARBOR, WA 98335(413) 221-6113 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Amanda Louise Wilson Md NPPES

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

DR. AMANDA LOUISE WILSON MD (NPI 1821066085) is an individual addiction medicine provider in Gig Harbor, Washington, licensed in Washington (60935430) and active in the NPI registry since March 2006. She maintains a secondary practice location in West Springfield.

NPPES Registry Identity

NPI1821066085
Entity TypeIndividualFemale
Primary Taxonomy207RA0401X
Provider Legal NameDR. AMANDA LOUISE WILSONCredential: MD
Location Address4016 52ND AVENUE CT NWGig Harbor, WA 98335-7632
Mailing Address4016 52nd Avenue Ct NwGig Harbor, WA 98335-7632 · (413) 221-6113
Sole ProprietorNo
Enumeration DateMarch 14, 2006
Last NPPES UpdateMay 3, 2022
NPPES CertifiedMay 3, 2022
NPI 1821066085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Licenses Licensed in WA · 60935430 Licensed in MI · 4301505786
Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License 205246 (MA), 049592 (CT)
4016 52ND AVENUE CT NW, Gig Harbor, WA 98335

Secondary Practice Location 1

Location 182 Main St.West Springfield, MA 01089 · Phone (417) 788-0100 · Fax (413) 736-1813

Other Identifiers 2

Medicaid0126748MA
Medicaid003126944CT

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Registered Nurse
4016 52ND AVENUE CT NW
GIG HARBOR, WA 98335
Registered Nurse
4016 52ND AVENUE CT NW
GIG HARBOR, WA 98335
Physician Assistant
4016 52ND AVENUE CT NW
GIG HARBOR, WA 98335
Internal Medicine (Addiction Medicine)
4016 52ND AVENUE CT NW
GIG HARBOR, WA 98335

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821066085, enumerated as an "individual" on March 14, 2006.

The provider is located at 4016 52ND AVENUE CT NW GIG HARBOR, WA 98335 and the phone number is (413) 221-6113.

Internal Medicine with taxonomy code 207RA0401X and a focus in Addiction Medicine.

The provider might be accepting Accepts: Oscar Health Maintenance Organization of Florida,. Please consult your insurance carrier or call the provider to verify.