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Contact Information

BRIDGETTE M WILKISON, LMT, NCBTMB
101 NE ROBERTS AVE
GRESHAM, OR97030-7551
 Phone: 503-490-3334
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mechanotherapist

172M00000X
Indicates primary specialty

NPI Profile & details for BRIDGETTE M WILKISON · (Female)

NPI # 1356637094
Status Active
Credentials LMT, NCBTMB
Entity Individual
Enumeration date 06/21/2011
Last updated 06/21/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 18186
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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