Active NPI
Rebekah Wilks, DC
- Chiropractor
- Portland, OR
National Provider Identifier
1124584487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5973
- Practice address
- 4920 SW Landing Dr Apt 102
Portland, OR 97239-5985 - Phone
- (806) 928-6527
- NPI assigned
- Feb 12, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 60922973 | WA | |
| Chiropractor | 111N00000X | 5973 | OR | Primary |
Addresses
Primary practice location
4920 SW Landing Dr Apt 102
Portland, OR 97239-5985
Mailing address
4920 SW Landing Dr Apt 102
Portland, OR 97239-5985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60922973 | WA | MD | Chiropractor |
| 5973 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549929600000",
"number": "1124584487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4920 SW LANDING DR APT 102",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972395985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4920 SW LANDING DR APT 102",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972395985",
"telephone_number": "806-928-6527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKS",
"first_name": "REBEKAH",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-12",
"last_updated": "2019-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "60922973",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "5973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.