Most Relevant Information
Provider Data
| NPI Number: | 1003004193 |
| Provider Name: | ELIZABETH AMY WILSON ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/15/2007 |
| Last Updated: | 10/15/2007 |
Provider Practice Location
1240 UNIVERSITY OF OREGON
122 ESSLINGER
EUGENE
OR
974031205
Practice Location Phone/Fax
| Phone: | 5413464107 |
| Fax: |
Provider Mailing Location
3355 LOMA LINDA DR
EUGENE
OR
974052791
Provider Mailing Phone/Fax
| Phone: | 7173439501 |
| Fax: |