MEDICARE: REED CALHOUN WILSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	MD09801	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598758534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REED CALHOUN WILSON MD

Provider Business Mailing Address
First Line	:	975 SE SANDY BLVD
Second Line	:	SUITE 200
City	:	PORTLAND
State	:	OR
Zip	:	97214-1308
Country	:	US
Telephone Number	:	503-963-2846
Fax Number	:	503-963-9505

Provider Business Practice Location Address
First Line	:	1040 NW 22ND AVE
Second Line	:	SUITE 420
City	:	PORTLAND
State	:	OR
Zip	:	97210-3057
Country	:	US
Telephone Number	:	503-229-7647
Fax Number	:	503-229-7105

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	01/04/2026

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Directions to “ REED CALHOUN WILSON MD” Practice Location

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