Individual provider

ELIZABETH AMY WILSON, ATC

CMS NPPES lists ELIZABETH AMY WILSON as an individual provider record with NPI 1003004193. The current record reports a primary practice location in EUGENE, OR and primary taxonomy code 2255A2300X.

NPI 1003004193Record type Type 1Primary taxonomy 2255A2300X

Type 1 NPIs identify individual healthcare providers. How to read this profile

01

Practice locations

  1. Primary practice location
    1240 UNIVERSITY OF OREGON122 ESSLINGEREUGENE, OR 974031205

Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.

02

Taxonomy information

  • 2255A2300XPrimary reported taxonomy

Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.

03

NPI record information

NPI status
Enumerated in NPPES
Enumeration date
October 15, 2007

An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.