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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IAN WILKINSON LAC

Active Organization

IAN WILKINSON LAC is a Preferred Provider Organization organization located in PORTLAND, Oregon. NPI 1053857482 is currently active in the NPPES registry. Verify at CMS.

Preferred Provider Organization · PORTLAND, OR

Registration Details

NPI Number
1053857482
Provider Type
Organization
NPI Issued
Jan 9, 2017 (9.6176845362295 yrs)
Last Updated
Jan 9, 2017
License
AC179984 (OR)

Practice Information

Address
4829 NE MARTIN LUTHER KING BLVD
SUITE 101
PORTLAND, OR, 972113491
Browse OR providers · Browse ZIP 97211
Phone
5417061888
Primary Specialty
Preferred Provider Organization
305R00000X

Other Preferred Provider Organization Organizations in PORTLAND, OR

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.