OrganizationActive
G Jason Wilks DPM PC
NPI 1639614647 · Podiatrist · Roseburg, OR
Provider details
- NPI number
- 1639614647
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- G Jason Wilks, Owner(541) 673-0742
- License
- DP00318 (OR)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
1813 W Harvard Ave Ste 201
Roseburg, OR 97471-2754
Phone: (541) 673-0742
Fax: (541) 673-7553
Approximate (ZIP-level) locationGet directions
Mailing address
1813 W Harvard Ave Ste 201
Roseburg, OR 97471-2754
Other names (DBA / former)
- Doing business as
- Wilks Advanced Foot Care
Registry dates
- Enumerated
- 2016-12-29
- Last updated
- 2025-11-12
- Certified
- 2025-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.