Individual
MR. JASON STREIF WILWERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT, OCS
Contact information
Practice address
522 N 5TH AVE, SEQUIM, WA 98382-3079
(360) 683-0632
(360) 681-8453
Mailing address
1905 SE 192ND AVE STE 109, CAMAS, WA 98607-7415
(503) 360-0385
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007329
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0170268
L & I
WA
01
—
0173768
WORKMAN'S COMP
—
05
—
7117260
—
WA
01
—
81061006701
KPS INSURANCE
—
01
—
8106WI
REGENCE INS
—
05
—
8355117
—
WA
01
—
DA1273
MR
—
01
—
P00017905
RAILROAD MEDICARE
—
Enumeration date
04/12/2006
Last updated
02/09/2026
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