NPI 1356637094

Bridgette Marie Wilkison, LMTNCBTMB

Practitioner Mechanotherapist Gresham, OR

Practice location

Address: 101 NE Roberts Ave, Gresham, OR 97030-7551
Phone: (503) 490-3334

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 18186 (OR)

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Registry record

NPI: 1356637094
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jun 2011
Record last updated: 21 Jun 2011

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.