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Jack Wilkinson
NPI 1720736234 · Peer Specialist · Portland, OR
Jack Wilkinson is a Peer Specialist provider in Portland, OR (NPI 1720736234).
Provider details
- NPI number
- 1720736234
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- THW000105108 (OR)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1825 Ne Glisan St
Portland, OR 97232-2844
Phone: (503) 963-7676
Street-level locationGet directions
Mailing address
Po Box 8459
Portland, OR 97207-8459
Registry dates
- Enumerated
- 2022-03-14
- Last updated
- 2022-03-14
- Certified
- 2022-03-14
Frequently asked questions
- What is Jack Wilkinson's NPI number?
- Jack Wilkinson's National Provider Identifier (NPI) is 1720736234, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Wilkinson's specialty?
- Jack Wilkinson is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Jack Wilkinson located?
- Jack Wilkinson's practice location on file with NPPES is 1825 Ne Glisan St, Portland, OR 97232-2844.
- What is Jack Wilkinson's phone number?
- The practice phone number listed in the NPPES registry for Jack Wilkinson is (503) 963-7676.
- Is Jack Wilkinson's NPI active?
- Yes — Jack Wilkinson's NPI (1720736234) is active in the NPPES registry as of the last update on 2022-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.