IndividualActive
Jason Wilcox
NPI 1295680155 · Peer Specialist · Enterprise, OR
Provider details
- NPI number
- 1295680155
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
Po Box 268
Enterprise, OR 97828-0268
Phone: (541) 426-4542
Fax: (541) 426-3035
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 268
Enterprise, OR 97828-0268
Registry dates
- Enumerated
- 2026-03-04
- Last updated
- 2026-03-04
- Certified
- 2026-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.