Jerry W Wilkins II, DA
Jerry W Wilkins II, DA is a Dental Assistant in Portland, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2019.
- Licensed in
- OR, WA
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
12750 SE Stark St Bldg EPortland, OR 97233-1539
Phone: (971) 347-3009
Fax: (971) 256-3277
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Assistant (primary) | Taxonomy 126800000X · Licence 000525 (OR) |
|---|---|
| Dental Assistant | Taxonomy 126800000X · Licence D160718103 (WA) |
Record details
| NPI number | 1538726567 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DA |
| Sole proprietor | No |
| NPI enumerated | May 24, 2019 |
| Last updated in NPPES | October 12, 2020 |
| Certification date | October 12, 2020 |
Other providers in Portland
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MS. Lori L Virell, EFDA
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Peter Clair Robinson Widmer
12750 SE Stark St Bldg E, Portland, OR 97233-1539 · (971) 347-3009
-
Mrs. Andrea Marie Wilkie, RDH
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