Search › Oregon › Clinical Social Worker
Jacob Wicks
NPI 1922483296 · on the registry since 2015 · sole proprietor
Practice
- Address
- 2800 N Vancouver Ave Ste 165
Portland, OR 97227 - Phone
- (503) 413-2902
- Fax
- (503) 413-5220
- Organisation at this address
- Georgia Wilcox And Associates Pc
Kartini Intensive Outpatient Program
Legacy Emanuel Hospital & Health Center
Legacy Emanuel Hospital & Health CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 107
Additional practice sites
- 11035 Ne Sandy Blvd, Portland, OR
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Also registered as
- Social Worker
Social Worker - Licence states on file
- NY, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-02-04
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