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JACK WILKINSON
NPI 1720736234
Peer Specialist in Portland, OR

Active since March 14, 2022
1825 NE GLISAN ST, PORTLAND, OR 97232(503) 963-7676 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jack Wilkinson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK WILKINSON (NPI 1720736234) is an individual peer specialist in Portland, Oregon, licensed in Oregon (THW000105108) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1720736234
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJACK WILKINSON
Location Address1825 NE GLISAN STPortland, OR 97232-2844
Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769
Phone(503) 963-7676
Sole ProprietorYes
Enumeration DateMarch 14, 2022
NPPES CertifiedMarch 14, 2022
✔ NPI 1720736234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · THW000105108
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1825 NE GLISAN ST, Portland, OR 97232
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Other Names 1

Former Name (1)Paula Wilkinson

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER DOUGLAS CAVIGLIA
Peer Specialist
1825 NE GLISAN ST
PORTLAND, OR 97232
Multnomah County (503) 963-7676
GUADALUPE GONZALES
Peer Specialist
1825 NE GLISAN ST
PORTLAND, OR 97232
Multnomah County (503) 963-7676
JADE ADAMS
Social Worker (Clinical)
1825 NE GLISAN ST
PORTLAND, OR 97232
Multnomah County (503) 963-7676
JASPER SOLOMAN KNOX
Counselor (Mental Health)
1825 NE GLISAN ST
PORTLAND, OR 97232
Multnomah County (503) 963-7676
HOWARD SETH SEIDEL
Peer Specialist
1825 NE GLISAN ST
PORTLAND, OR 97232
Multnomah County (503) 963-7676
CELESTE M GLEASON BSW
Counselor (Mental Health)
1825 NE GLISAN ST
PORTLAND, OR 97232
Multnomah County (503) 963-7676
AUBRY LYNNE LOPE
Counselor (Mental Health)
1825 NE GLISAN ST
PORTLAND, OR 97232
Multnomah County (503) 872-0111
SARA MICHELLE SORGENFRIE
Case Manager/Care Coordinator
1825 NE GLISAN ST
PORTLAND, OR 97232
Multnomah County (503) 963-7676

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Wilkinson's NPI number?

The NPI number for Jack Wilkinson is 1720736234. It was assigned to this individual provider in the NPPES registry on March 14, 2022. The provider is also known as Paula Wilkinson.

Where is Jack Wilkinson located?

Jack Wilkinson practices at 1825 NE Glisan St, Portland, OR 97232. The listed phone number is (503) 963-7676.

What is Jack Wilkinson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jack Wilkinson was last updated on March 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.