Search › Oregon › 175T00000X
Jack Wilkinson
NPI 1720736234 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1825 Ne Glisan St
Portland, OR 97232 - Phone
- (503) 963-7676
- Clinicians at this address
- 56
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-03-14
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