ROGER WILDER NPI 1497153076

NPI Information

  • NPI: 1497153076
  • Provider Name: ROGER WILDER
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 3871 FAIRVIEW INDUSTRIAL DR SE
    ST #105
    SALEM, OR
    ZIP 97302
  • Phone: (503) 391-9765

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NPI Details

Roger Wilder is an addiction (substance use disorder) counselor in Salem, OR. Roger Wilder NPI is 1497153076. 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:

3871 FAIRVIEW INDUSTRIAL DR SE
ST #105
SALEM, OR
ZIP 97302-180
Phone: (503) 391-9765
Fax: (503) 391-2019

The enumeration date for this NPI number is 12/12/2014 and was last updated on 12/12/2014.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)13-09-59OREGONYes

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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