Individual
DR. ANSON WILKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-7772
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-7772
(503) 418-3283
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
MD203544
OR
2084N0400X
Neurology Physician
Primary
MD203544
OR
Other
Enumeration date
06/13/2015
Last updated
06/29/2021
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