Organization · Type 2 NPI

Ian Wilkinson Lac

Preferred Provider Organization · Portland, OR

NPI number 1053857482 Active

Practice location

4829 NE Martin Luther King Blvd, Suite 101
Portland, OR 97211-3491

Call (541) 706-1888 Map

Mailing address

342 NE Morgan St
Portland, OR 97211-2934

Specialties and licenses

TaxonomyCodeLicense
Preferred Provider Organization Primary 305R00000XAC179984 (OR)

Preferred Provider Organization: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

4 other providers at this address

Other preferred provider organization providers in Portland

See all in Portland →

About NPI 1053857482

Ian Wilkinson Lac's National Provider Identifier is 1053857482, issued on Jan 9, 2017. The primary taxonomy on file is Preferred Provider Organization (305R00000X), and the practice location is in Portland, OR. The record was last updated on Jan 9, 2017.