Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922370543 Individual Practitioner Male Practitioner

Dr. Jordan William Wilde , DC

Chiropractor • Gresham, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jordan Wilde, DC is a certified Chiropractor practicing in Gresham, OR. With approximately 15 years of clinical experience since graduating from Western States College Of Chiropractic in 2011, Dr. Wilde delivers high-quality medical care to the local community at 191 SE STARK STREET.

Dr. Wilde is affiliated with Milwaukie Spine And Sport, Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

191 Se Stark Street

Gresham, OR 972338386

Telephone 5033289300

Medicare Profile & Education

Medical School

Western States College Of Chiropractic

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Gresham, OR

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs -4.3 yrs vs City Avg
City Avg: 19.3 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
52 Specialists

Practicing in Gresham, OR (1950 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilde (15 Years) 15 Yrs
Gresham Specialty Average (19.3 Years) 19.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2020-10-13
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License OR 5033

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Hospital & Practice Group Affiliations

Milwaukie Spine And Sport, Llc

2100 Se Lake Rd, Milwaukie, OR 972227759

Phone: 9714000625

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address October 13, 2020

Registered at 15777 SE RUBY DR, MILWAUKIE, OR 972673703

NPI Profile Active March 14, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 14, 2013

Registered at 191 SE STARK STREET, GRESHAM, OR 972338386 (Tel: 5033289300)

📍
Updated Business Mailing Address March 14, 2013

Registered at 1040 SW 66TH AVE APT 7210, PORTLAND, OR 972256082

👤
Provider Name / Credentials Updated March 14, 2013

Recorded as JORDAN WILDE, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2013

Chiropractor (License #5033 in OR)

🟢
Initial NPI Registration & Enumeration January 27, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922370543
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2012
Last Update: October 13, 2020
Sole Proprietor: Yes

Mailing Address

15777 Se Ruby Dr

Milwaukie, OR 972673703

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.