Individual
JESSICA WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
200 SW MARKET ST STE L120, PORTLAND, OR 97201-5717
(503) 223-8147
(503) 226-2370
Mailing address
200 SW MARKET ST STE L120, PORTLAND, OR 97201-5717
(503) 223-8147
(503) 226-2370
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3247ATI
OR
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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