NPI 1316006539

G Jason Wilks, DPM

Practitioner Podiatrist Roseburg, OR

Practice location

Address: 1813 W Harvard Ave STE 201, Roseburg, OR 97471-2754
Phone: (541) 673-0742
Fax: (541) 673-7553

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence DP00318 (OR)

Other Podiatrist providers in Oregon →

Registry record

NPI: 1316006539
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Dec 2006
Record last updated: 12 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.