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Contact Information

G JASON WILKS DPM PC
1813 W HARVARD AVE STE 201
ROSEBURG, OR97471
 Phone: 541-673-0742
 Fax: 541-673-7553
 Website: https://www.wilksadvancedfootcare.com/
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for G JASON WILKS DPM PC · (Female)

NPI # 1639614647
Status Active
Credentials
Entity Individual
Enumeration date 12/29/2016
Last updated 11/12/2025 - About 7 months ago
Sole proprietor 1 Not specified
Identifiers
  • OR License # DP00318
  • OR Medicaid PENDING
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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