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NPI Code Detail

MEDICARE: DR. SERRON WILKIE ND

MEDICARE: DR. SERRON WILKIE ND
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
1171100000XAcupuncturist154304OR
2175F00000XNaturopath1718OR

General Provider Information

NPI Number : 1851625560
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SERRON WILKIE ND
Provider Business Mailing Address
First Line : 7886 SE 13TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97202-6300
Country : US
Telephone Number : 503-956-9396
Fax Number : 503-206-4791
Provider Business Practice Location Address
First Line : 7886 SE 13TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97202-6300
Country : US
Telephone Number : 503-956-9396
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2009
Last Update Date : 11/07/2024

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Directions to “ DR. SERRON WILKIE ND” Practice Location

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