Individual provider · Type 1 NPI

Roger Wilder

Addiction (Substance Use Disorder) Counselor · Salem, OR

NPI number 1497153076 Active

Practice location

3871 Fairview Industrial Dr SE, St #105
Salem, OR 97302-1180

Call (503) 391-9765 Map

Fax (503) 391-2019

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X13-09-59 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1497153076

Roger Wilder's National Provider Identifier is 1497153076, issued on Dec 12, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Salem, OR. The record was last updated on Dec 12, 2014.