Individual provider Active NPI

Alison M Wilder, D.C.

  • Chiropractor
  • Portland, OR
National Provider Identifier
1710725502
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6388 Issued in OR
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20250513000975 OR Practitioner - Chiropractic 4284152380 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6388ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Natural Medicine, Inc Chiropractor CurrentSince Feb 23, 2025 Accepting new patients

Locations

1330 SE Cesar E Chavez Blvd
Portland, OR 97214
Phone (503) 232-1100

Interoperability endpoints

  • Direct secure messaging: alison.wilder.1@22798.direct.athenahealth.com
  • FHIR API: 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.

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.

Verify at the official NPI Registry.