person
G Jason Wilks, DPM
Podiatrist in Roseburg, Oregon
NPI 1316006539

G Jason Wilks is a Podiatrist based in Roseburg, OR. G Jason Wilks practices in Roseburg, OR and has the professional credentials of DPM. The NPI Number for G Jason Wilks is 1316006539 and holds a License No. DP00318 (Oregon).

The current practice location address for G Jason Wilks is 1813 W Harvard Ave Ste 201, Roseburg, OR and can be reached out via phone at 541-673-0742 and via fax at 541-673-7553.

Location: 1813 W Harvard Ave Ste 201, Roseburg, OR, 97471-6220
person
Provider Profile Details
NPI Number
1316006539
Provider Name
G Jason Wilks
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1813 W Harvard Ave Ste 201, Roseburg, OR, 97471-6220
Phone Number
541-673-0742
Fax Number
541-673-7553
Provider Enumeration Date
12/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
067946000 01 OR REGENCE
7600580001 01 OR PTAN DME
DX4938 01 OR RR MDC GROUP PTAN
500720262 05 OR
430895102 01 OR REGENCE BC HMO
480028890 01 RR MEDICARE
R192914 01 OR PTAN MEDICARE ORGANIZATION
D201111 01 OR PACIFIC SOURCE
institution
Provider Business Practice Location Address Details
Address
1813 W Harvard Ave Ste 201
City
State
Zip
97471-2754
Phone Number
541-673-0742
Fax Number
541-673-7553
person
Provider Business Mailing Address Details
Address
1813 W Harvard Ave Ste 201
City
State
Zip
97471-2754
Phone Number
541-673-0742
Fax Number
541-673-7553
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
DP00318 (Oregon)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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