SearchOregon171100000X

Ian Wilkinson, LAC

NPI 1932642956 · on the registry since 2016 · sole proprietor

Practice

Address
4829 Ne Martin Luther King Jr Blvd
Portland, OR 97211
Phone
(541) 706-1888
Clinicians at this address
3

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-11-22

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