Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Charles Leroy Wilk, LAC

Individual provider Acupuncturist · NPI 1174771703

Mr. Charles Leroy Wilk, LAC is an Acupuncturist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2008
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

4511 SE Hawthorne Blvd Ste 214
Portland, OR 97215-3170
Phone: (503) 241-0042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC00212 (OR)

Record details

NPI number1174771703
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorYes
NPI enumeratedSeptember 8, 2008
Last updated in NPPESAugust 7, 2013

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