Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROGER A WICKLUND, M.D.
ActiveDR. ROGER A WICKLUND, M.D. is a Urology healthcare provider located in PORTLAND, Oregon. NPI 1417065848 is currently active in the NPPES registry. Verify at CMS.
Urology · PORTLAND, OR
Registration Details
- NPI Number
- 1417065848
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 27, 2006 (20.004026397541 yrs)
- Last Updated
- Oct 16, 2012
- Licenses
-
MD09630 (OR)MD00034648 (WA)
Practice Information
- Address
-
9135 SW BARNES RDSTE. 663PORTLAND, OR, 972256646Browse OR providers · Browse ZIP 97225
- Phone
- 5032971078
- Fax
- 5032922176
- Primary Specialty
-
Urology
208800000X
- Additional Specialty
- Urology
Other Urology Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| STANLEY A MYERS | M.D. | 1740288158 |
| DAVID SCOTT MENASHE | MD | 1376535617 |
| DONALD ANDREW YOUNG III | MD | 1013900059 |
| DR. CHRISTOPHER DOUGLAS TESSIER | MD | 1710971262 |
| DR. DAVID N. LEAF | M.D. | 1538154877 |
| DR. MICHAEL C LIPKE | M.D. | 1104811801 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.