Organization
IAN WILKINSON LAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN JAMES WILKINSON LAC (ACUPUNCTURIST)
(541) 706-1888
Entity
Organization
Contact information
Practice address
4829 NE MARTIN LUTHER KING BLVD, SUITE 101, PORTLAND, OR 97211-3491
(541) 706-1888
Mailing address
342 NE MORGAN ST, PORTLAND, OR 97211-2934
(541) 706-1888
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
AC179984
OR
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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