Individual
DENISE WILKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
18070 NW EVERGREEN PKWY, BEAVERTON, OR 97006-7451
(503) 617-0862
Mailing address
1277 NE BIRKSHIRE CT, HILLSBORO, OR 97124-2028
(971) 645-7330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3199ATI
OR
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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