Ian Wilkinson Lac
Ian Wilkinson Lac is a Preferred Provider Organization in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2017.
- Licensed in
- OR
- In the registry since
- 2017
Practice location Address checks out
4829 NE Martin Luther King Blvd Ste 101Portland, OR 97211-3491
Phone: (541) 706-1888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence AC179984 (OR) |
|---|
Record details
| NPI number | 1053857482 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ian Wilkinson — Acupuncturist · (541) 706-1888 |
| NPI enumerated | January 9, 2017 |
| Last updated in NPPES | January 9, 2017 |
| Mailing address | 342 Ne Morgan St, Portland, OR 97211-2934 |
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