DR. ROGER A WICKLUND


Address: 9135 Sw Barnes Rd, Ste. 663, Portland, OR 97225-6646
Phone: 5032971078

DR. ROGER A WICKLUND (NPI# 1417065848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417065848
Entity Type Individual
Full Name DR. ROGER A WICKLUND
Credential M.D.
Practice Address 9135 Sw Barnes Rd
Ste. 663
Portland
OR 97225-6646
Practice Telephone 5032971078
Practice Fax Number 5032922176
Mailing Telephone 5032971078
Mailing Fax Number 5032922176
Enumeration Date 2006-08-27
Last Update Date 2012-10-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208800000X Urology MD00034648 WA Allopathic & Osteopathic Physicians
Y 208800000X Urology MD09630 OR Allopathic & Osteopathic Physicians

Office Location

Street Address 9135 SW BARNES RD
STE. 663
City PORTLAND
State OR
Zip Code 97225-6646

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124021753 Stacy K Lewis Internal Medicine 9135 Sw Barnes Rd, Ste 261, Portland, OR 97225-6601 2005-05-27
1770068017 Jason Joy Occupational Therapist 9135 Sw Barnes Rd, Portland, OR 97225-6646 2018-10-02
1578041661 Jaime Musgrave Physical Therapist 9135 Sw Barnes Rd, Ste 361, Portland, OR 97225-9720 2018-08-01
1295245629 Kate Alison O'connor Culligan Occupational Therapist 9135 Sw Barnes Rd, Portland, OR 97225-6646 2017-10-12
1952765885 Brian Frost Speech-Language Pathologist 9135 Sw Barnes Rd, Suite 362, Portland, OR 97225-6646 2016-04-06
1649636648 Laurel Beth Tor Nurse Practitioner 9135 Sw Barnes Rd, Portland, OR 97225-6646 2016-01-06
1659736940 Audrey Whitten Physical Therapist 9135 Sw Barnes Rd, Suite 361, Portland, OR 97225-6646 2015-12-31
1265824627 Kaplan & Sautter LLC Otolaryngology 9135 Sw Barnes Rd, Suite 963, Portland, OR 97225-6646 2015-02-23
1811394380 James Connelly Pharmacist 9135 Sw Barnes Rd, Suite 263, Portland, OR 97225-6646 2014-11-29
1992107544 Kelli R Harrington-bollenbaugh Speech-Language Pathologist 9135 Sw Barnes Rd, Ste 261, Portland, OR 97225-6646 2014-09-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508425034 Gabrielle Gonzales Behavior Technician 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 2019-06-08
1558844555 Tate Roseberry Behavior Technician 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 2018-09-14
1982186300 Dean Alan Hopkins Registered Nurse 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 2018-09-01
1316449168 Surgery Center At St. Vincent, LLC Clinic/Center 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 2018-03-07
1730606716 Meghan Louise Lacy Pediatrics 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 2017-08-29
1841733433 Tia Pugh Occupational Therapist 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 2016-11-30
1295185585 Stephanie Lynn Hart Nurse Practitioner 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 2016-06-16
1962866244 Bejian Shamloo Chiropractor 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 2016-04-12
1992162630 Robert Joseph Yoder Psychologist 9045 Barnes Rd, Portland, OR 97225 2016-01-26
1316303951 Katie Herold Chiropractor 9315 Sw Morrison St, Portland, OR 97225 2016-01-12
Find all providers in zip 97225

Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376885418 Sasha Courand Druskin Urology 2226 Nw Pettygrove St, Portland, OR 97210-2608 2013-03-26
1871837468 Kirit S Shah M.d., P.C. Urology 171 Ne 102nd Ave, Portland, OR 97220-4169 2012-11-20
1730484544 James Bresee Urology 9135 Sw Barnes Rd Ste 663, Portland, OR 97225 2011-01-26
1538332291 James T Pappas, Md, PC Urology 5050 Ne Hoyt St Ste 428, Portland, OR 97213-2984 2008-04-02
1679775241 James Francis Tycast Urology 2230 Nw Pettygrove St Ste 210, Portland, OR 97210-2659 2007-06-04
1255546982 Nicholas A Boncher Urology 5050 Ne Hoyt St Ste 210, Portland, OR 97213-2980 2007-05-14
1740329366 Jaroslava Zoubek Urology 800 Sw 13th Ave Ste 663, Portland, OR 97205-1902 2007-02-06
1992809966 Bruce Henry Blank Urology 164 Nw Macleay Blvd, Portland, OR 97210-3323 2006-09-12
1396854121 Michael J Raife Urology 727 S Wahanna Road, Portland, OR 97138-7735 2006-08-29
1184660813 Kirit S Shah Urology 171 Ne 102nd Avenue, Portland, OR 97220-4169 2006-06-21
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97225

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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