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NPI Code Detail

MEDICARE: WILKES FAMILY INVESTMENTS LLC

MEDICARE: WILKES FAMILY INVESTMENTS LLC
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1245433507
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILKES FAMILY INVESTMENTS LLC
Provider Business Mailing Address
First Line : 2705 E BURNSIDE ST.
Second Line : STE. 213
City : PORTLAND
State : OR
Zip : 97214-1768
Country : US
Telephone Number : 503-234-4288
Fax Number : 503-234-8613
Provider Business Practice Location Address
First Line : 2705 E BURNSIDE ST
Second Line : STE 213
City : PORTLAND
State : OR
Zip : 97214-1768
Country : US
Telephone Number : 503-234-4288
Fax Number : 503-234-8613
Authorized Official
Title or Position : OFFICE MANAGER
Name : CIERRA PERRY
Credential :
Telephone Number : 503-234-4288
Provider Enumeration Date : 06/06/2007
Last Update Date : 03/21/2025

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Directions to “WILKES FAMILY INVESTMENTS LLC ” Practice Location

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