Jack Wilkinson
Jack Wilkinson is a Peer Specialist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2022
Practice location Address checks out
1825 NE Glisan StPortland, OR 97232-2844
Phone: (503) 963-7676
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence THW000105108 (OR) |
|---|
Record details
| NPI number | 1720736234 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 14, 2022 |
| Last updated in NPPES | March 14, 2022 |
| Certification date | March 14, 2022 |
| Mailing address | Po Box 8459, Portland, OR 97207-8459 |
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