Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417065848 Individual Practitioner Male Practitioner

Dr. Roger A Wicklund , MD

Urology • Portland, OR

Professional Overview & Biography Verified Profile Summary

Dr. Roger Wicklund, MD is a registered healthcare professional specializing in Urology in Portland, OR. Practice services are available at 9135 SW BARNES RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9135 Sw Barnes Rd
Ste. 663

Portland, OR 972256646

Telephone 5032971078
Fax 5032922176
Associated Practice Facility / Clinic
🏢 Urologic Consultants Pc Facility NPI 1699752899

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 25.4 Yrs
Regional Practice Density
73 Specialists

Practicing in Portland, OR (201 Statewide)

Telehealth Adoption Rate
42.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License OR MD09630

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License WA MD00034648

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1073653606

Doctor of Medicine (M.D.)

NPI 1306986930

Doctor of Medicine (M.D.)

Dana Dauer , PA-C

Physician Assistant

NPI 1376002436

Physician Assistant (Certified)

Kevin Brandt , PA-C

Physician Assistant

NPI 1528318995

Physician Assistant (Certified)

NPI 1730484544

Doctor of Medicine (M.D.)

NPI 1750544243

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 16, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 16, 2012

Registered at 9135 SW BARNES RD, STE. 663, PORTLAND, OR 972256646 (Tel: 5032971078)

📍
Updated Business Mailing Address October 16, 2012

Registered at 9135 SW BARNES RD, STE. 663, PORTLAND, OR 972256646 (Tel: 5032971078)

👤
Provider Name / Credentials Updated October 16, 2012

Recorded as ROGER WICKLUND, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2012

Urology (License #MD09630 in OR)

🟢
Initial NPI Registration & Enumeration August 27, 2006

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: 1417065848
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 27, 2006
Last Update: October 16, 2012
Sole Proprietor: No

Mailing Address

9135 Sw Barnes Rd, Ste. 663

Portland, OR 972256646

Phone: 5032971078

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.