Jack Wilkinson - Portland, OR

Jack Wilkinson

Peer Specialist in Portland, Oregon

NPI 1720736234

Jack Wilkinson is a Peer Specialist based in Portland, OR. Jack Wilkinson practices in Portland, OR. The NPI Number for Jack Wilkinson is 1720736234 and holds a License No. THW000105108 (Oregon).

The current practice location address for Jack Wilkinson is 1825 Ne Glisan St, Portland, OR and can be reached out via phone at 503-963-7676.

Location: 1825 Ne Glisan St, Portland, OR, 97207-8459

NPI Number

1720736234

Provider Name

Jack Wilkinson

Credential

Provider Entity Type

Individual

Gender

Male

Address

1825 Ne Glisan St, Portland, OR, 97207-8459

Phone Number

503-963-7676

Fax Number

Provider Enumeration Date

03/14/2022

Last Update Date

03/10/2024

Address

1825 Ne Glisan St

City

Portland

State

Oregon

Zip

97232-2844

Phone Number

503-963-7676

Fax Number

Address

1825 Ne Glisan St

City

Portland

State

Oregon

Zip

97232-2844

Phone Number

503-963-7676

Fax Number

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

THW000105108 (Oregon)

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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