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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANDREW STEPHEN WILSON, DO

Active Sole Proprietor

ANDREW STEPHEN WILSON, DO is a Hospice and Palliative Medicine healthcare provider located in JOINT BASE LEWIS MCCHORD, Washington. NPI 1194229336 is currently active in the NPPES registry. Verify at CMS.

Hospice and Palliative Medicine · JOINT BASE LEWIS MCCHORD, WA

Registration Details

NPI Number
1194229336
Provider Type
Individual
Gender
Male
NPI Issued
Mar 22, 2018 (8.4426600894071 yrs)
Last Updated
Jan 28, 2026
Licenses
0102205803 (VA)
DO228356 (OR)
U9389 (TX)
OP70055223 (WA)
Sole Proprietor
Yes

Practice Information

Address
9040 JACKSON AVENUE
JOINT BASE LEWIS MCCHORD, WA, 984314504
Browse WA providers · Browse ZIP 98431
Phone
2539681100
Fax
2539680100
Primary Specialty
Hospice and Palliative Medicine
207RI0011X
Additional Specialty
Cardiovascular Disease
Additional Specialty
Cardiovascular Disease
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.