Individual
BLAIR WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
193 MAIN ST, YONCALLA, OR 97499-9021
(541) 849-2111
Mailing address
PO BOX 280, YONCALLA, OR 97499-0280
(541) 849-2111
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5681
OR
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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