Wilk, Gerald Stanley
Wilk, Gerald Stanley is an sole proprietor health care provider with primary practice located at 2077 Nw Town Center Dr , Beaverton OR 97006-8938. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Wilk, Gerald Stanley can be contacted via phone (360) 910-1840.Contact Information
Primary practice address
2077 Nw Town Center Dr
Beaverton OR 97006-8938
Phone: (360) 910-1840
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 14645 | Oregon |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA 00016097 | Washington |
Profile Details
| NPI number | 1508235219 |
|---|---|
| LBN Legal business name | Wilk, Gerald Stanley |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2015 |
| Last updated | Sep 23rd, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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