Search › Oregon › 103TB0200X

Jay Wilkinson

NPI 1497809164 · on the registry since 2007 · sole proprietor

Practice

Address
5441 S Macadam Ave # 6038
Portland, OR 97239
Phone
(503) 462-1606

Additional practice sites

  • 12710 Se Division St, Portland, OR

Registry record

Primary taxonomy
103TB0200X
103TB0200X
Also registered as
103TC0700X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon