Individual
JASON WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 268, ENTERPRISE, OR 97828-0268
(541) 426-4542
(541) 426-3035
Mailing address
PO BOX 268, ENTERPRISE, OR 97828-0268
(541) 426-4542
(541) 426-3035
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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