BRETT ALAN WILDRICK
NPI 1114228129
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since November 07, 2010
1500 NE IRVING ST, SUITE 250, PORTLAND, OR 97232(503) 258-4200 Get Directions Write a Review

NPPES record last updated: November 7, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brett Alan Wildrick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRETT ALAN WILDRICK (NPI 1114228129) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1114228129
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRETT ALAN WILDRICK
Location Address1500 NE IRVING ST, SUITE 250Portland, OR 97232-2243
Mailing Address5776 Kalmia LnSpringfield, OR 97478-5453 · (541) 337-2848
Sole ProprietorYes
Enumeration DateNovember 7, 2010
NPI 1114228129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1500 NE IRVING ST, Portland, OR 97232

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1500 NE IRVING ST
PORTLAND, OR 97232
Psychologist
1500 NE IRVING ST, SUITE 250
PORTLAND, OR 97232
Counselor (Mental Health)
1500 NE IRVING ST
PORTLAND, OR 97232
Counselor (Mental Health)
1500 NE IRVING ST, SUITE 250
PORTLAND, OR 97232
Student in an Organized Health Care Education/Training Program
1500 NE IRVING ST, SUITE 250
PORTLAND, OR 97232
Counselor
1500 NE IRVING ST, SUITE 250
PORTLAND, OR 97232
Case Manager/Care Coordinator
1500 NE IRVING ST
PORTLAND, OR 97232
Case Manager/Care Coordinator
1500 NE IRVING ST, SUITE 250
PORTLAND, OR 97232

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brett Wildrick's NPI number?

The NPI number for Brett Wildrick is 1114228129. It was assigned to this individual provider in the NPPES registry on November 7, 2010.

Where is Brett Wildrick located?

Brett Wildrick practices at 1500 NE Irving St Suite 250, Portland, OR 97232. The listed phone number is (503) 258-4200.

What is Brett Wildrick's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Brett Wildrick was last updated on November 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.