MEDICARE: DAVID B WILKINSON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	MD24784	OR
2	2084N0008X	Neuromuscular Medicine (Psychiatry & Neurology) Physician	MD24784	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609841659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID B WILKINSON M.D.

Provider Business Mailing Address
First Line	:	PO BOX 31001-4180
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91110-4180
Country	:	US
Telephone Number	:	503-215-6494
Fax Number	:

Provider Business Practice Location Address
First Line	:	9135 SW BARNES RD STE 461
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97225-6643
Country	:	US
Telephone Number	:	503-216-1150
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	08/04/2025

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