Individual provider · Type 1 NPI

Roger A. Wicklund, MD

Urology Physician · Portland, OR

NPI number 1417065848 Active

Practice location

9135 SW Barnes Rd, Ste. 663
Portland, OR 97225-6646

Call (503) 297-1078 Map

Fax (503) 292-2176

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000XMD09630 (OR)
Urology Physician 208800000XMD00034648 (WA)

Urology Physician: 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.

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About NPI 1417065848

Roger A. Wicklund, MD's National Provider Identifier is 1417065848, issued on Aug 27, 2006. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Portland, OR. The record was last updated on Oct 16, 2012.