Individual
JANIS WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3043 NE 28TH ST, LINCOLN CITY, OR 97367-4518
(541) 997-3661
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA12129
CA
363A00000X
Physician Assistant
Primary
PA171032
OR
Other
Enumeration date
02/07/2008
Last updated
11/06/2023
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