Active NPI
Alison M Wilder, D.C.
- Chiropractor
- Portland, OR
National Provider Identifier
1710725502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6388
- Practice address
- 1330 SE Cesar Estrada Chavez Blvd
Apt, Suite, BLDG. (Optional)
Portland, OR 97214 - Phone
- (414) 238-8355
- NPI assigned
- Jul 17, 2024
- Last updated
- Jul 17, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6388 | OR | Primary |
Addresses
Primary practice location
1330 SE Cesar Estrada Chavez Blvd
Apt, Suite, BLDG. (Optional)
Portland, OR 97214
Mailing address
6932 SE 108TH Ave
Apt, Suite, BLDG. (Optional)
Portland, OR 97266
Phone (414) 238-8355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6388 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Natural Medicine, Inc | Chiropractor | Current | Accepting new patients |
Locations
1330 SE Cesar E Chavez Blvd
Portland, OR 97214
Phone (503) 232-1100
Interoperability endpoints
- alison.wilder.1@22798.direct.athenahealth.com
- https://api.platform.athenahealth.com/22798/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Portland, OR
- NPI 1043317928
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1710725502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6932 SE 108TH AVE",
"address_2": "APT, SUITE, BLDG. (OPTIONAL)",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97266",
"telephone_number": "414-238-8355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 SE CESAR ESTRADA CHAVEZ BLVD",
"address_2": "APT, SUITE, BLDG. (OPTIONAL)",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97214",
"telephone_number": "414-238-8355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDER",
"first_name": "ALISON",
"middle_name": "M",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-17",
"last_updated": "2024-07-17",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "6388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.