Individual
PETER BRIAN WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2705 E BURNSIDE ST STE 213, PORTLAND, OR 97214-1768
(503) 234-4288
(503) 234-8613
Mailing address
2705 E BURNSIDE ST STE 213, PORTLAND, OR 97214-1768
(503) 234-4288
(503) 234-8613
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
6243
OR
111NR0400X
Rehabilitation Chiropractor
Primary
6243
OR
111NX0100X
Occupational Health Chiropractor
6243
OR
111NX0800X
Orthopedic Chiropractor
6243
OR
Other
Enumeration date
09/29/2022
Last updated
12/02/2024
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