Individual
JASON WILKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7427 SW COHO CT STE OFFICE6, TUALATIN, OR 97062-8618
(503) 389-5514
Mailing address
4130 SW 117TH AVE # A262, BEAVERTON, OR 97005-5606
(503) 389-5514
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R6323
OR
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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