Individual
LAUREN WILKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
36307 WILSON RIVER HWY, TILLAMOOK, OR 97141-3816
(503) 830-5572
Mailing address
36307 WILSON RIVER HWY, TILLAMOOK, OR 97141-9132
(503) 830-5572
(503) 815-1870
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10045114
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500720382
—
OR
Enumeration date
01/17/2017
Last updated
09/17/2025
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