Search › Oregon › 126800000X
Jerry Wilkins, DA
NPI 1538726567 · on the registry since 2019
Practice
- Address
- 12750 Se Stark St Bldg E
Portland, OR 97233 - Phone
- (971) 347-3009
- Fax
- (971) 256-3277
- Organisation at this address
- Native American Rehabilitation Assoc Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 40
Registry record
- Primary taxonomy
- 126800000X
126800000X
- Also registered as
- 126800000X
- Licence states on file
- WA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon