DR. ROGER A WICKLUND M.D. NPI 1417065848

NPI Information

  • NPI: 1417065848
  • Provider Name: DR. ROGER A WICKLUND, M.D.
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9135 SW BARNES RD
    STE. 663
    PORTLAND, OR
    ZIP 97225
  • Phone: (503) 297-1078

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NPI Details

DR. Roger A Wicklund, M.D. is an urology in Portland, OR. The provider is 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. DR. Roger A Wicklund, M.D. NPI is 1417065848. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9135 SW BARNES RD
STE. 663
PORTLAND, OR
ZIP 97225-646
Phone: (503) 297-1078
Fax: (503) 292-2176

The NPI 1417065848 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/27/2006 and was last updated on 10/16/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyMD00034648WASHINGTONNo
2208800000XUrologyMD09630OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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