DR. Jordan William Wilde, D.C.

NPI #1922370543 in Gresham, Oregon

Provider Information

NPI Number: 1922370543
Entity Type: Individual
Name: DR. Jordan William Wilde, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jan 27, 2012
Last Updated: Oct 13, 2020

Practice Location

Address: 191 SE STARK STREET
City: Gresham
State: Oregon
ZIP Code: 97233-8386
Phone: (503) 328-9300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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