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Individual

REBEKAH WILKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
4920 SW LANDING DR APT 102, PORTLAND, OR 97239-5985
(806) 928-6527
Mailing address
4920 SW LANDING DR APT 102, PORTLAND, OR 97239-5985

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5973
OR
111N00000X
Chiropractor
60922973
WA

Other

Enumeration date
02/12/2019
Last updated
02/12/2019
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