Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JORDAN WILLIAM WILDE, D.C.
Active Sole ProprietorDR. JORDAN WILLIAM WILDE, D.C. is a Chiropractor healthcare provider located in GRESHAM, Oregon. NPI 1922370543 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · GRESHAM, OR
Registration Details
- NPI Number
- 1922370543
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 27, 2012 (14.529338811295 yrs)
- Last Updated
- Oct 13, 2020
- License
-
5033 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
191 SE STARK STREETGRESHAM, OR, 972338386Browse OR providers · Browse ZIP 97233
- Phone
- 5033289300
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in GRESHAM, OR
| Name | Credential | NPI |
|---|---|---|
| DR. RONALD JOHN MEGYESI | D.C. | 1154312213 |
| DR. BRIAN LAURIE VROOM | D.C. | 1215913637 |
| DR. TERI LYN GABRIEL | DC | 1477594539 |
| DR. MARIE H MASON | DC | 1811098056 |
| JESSE LAYNE NUTTALL | D.C. | 1255404612 |
| DR. ROBERT WILLIAM RAMSEY | D.C. | 1689749897 |
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.