Organization
G JASON WILKS DPM PC
Active
Other names
Wilks Advanced Foot Care
Organization subpart
No
Provider details
NPI number
Authorized official
G JASON WILKS DPM (OWNER)
(541) 673-0742
Entity
Organization
Contact information
Practice address
1813 W HARVARD AVE STE 201, ROSEBURG, OR 97471-2754
(541) 673-0742
(541) 673-7553
Mailing address
1813 W HARVARD AVE STE 201, ROSEBURG, OR 97471-2754
(541) 673-0742
(541) 673-7553
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00318
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OR
Enumeration date
12/29/2016
Last updated
11/12/2025
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