Individual provider · Type 1 NPI

Gerald Stanley Wilk Jr.

Massage Therapist · Beaverton, OR

NPI number 1508235219 Active

Practice location

2077 NW Town Center Dr
Beaverton, OR 97006-8938

Call (360) 910-1840 Map

Mailing address

5841 NE Orenco Gardens Dr
Hillsboro, OR 97124-5128

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X14645 (OR)
Massage Therapist 225700000XMA 00016097 (WA)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

4 other providers at this address

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About NPI 1508235219

Gerald Stanley Wilk Jr.'s National Provider Identifier is 1508235219, issued on Sep 23, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Beaverton, OR. The record was last updated on Sep 23, 2015.