Ian Wilkinson Lac

NPI #1053857482 in Portland, Oregon

Provider Information

NPI Number
1053857482
Entity Type
Organization
Organization Name
Ian Wilkinson Lac
Primary Specialty
Preferred Provider Organization
Enumeration Date
Jan 9, 2017
Last Updated
Jan 9, 2017

Practice Location

Address
4829 NE MARTIN LUTHER KING BLVD
Address 2
SUITE 101
State
Oregon
ZIP Code
97211-3491
Phone
(541) 706-1888

Authorized Official

Name
IAN JAMES WILKINSON, LAC
Title
ACUPUNCTURIST
Phone
(541) 706-1888

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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