DR. WILDER AWEN ROSE DSOM
NPI 1588250047
Acupuncturist in Portland, OR

Active since December 17, 2020
3115 NE SANDY BLVD STE 231, PORTLAND, OR 97232(503) 701-8766 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 21, 2024, Dec 17, 2020 (2 updates tracked since 2020).

About Dr. Wilder Awen Rose Dsom NPPES

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

DR. WILDER AWEN ROSE DSOM (NPI 1588250047) is an individual acupuncturist in Portland, Oregon, licensed in Oregon (AC203008) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1588250047
Entity TypeIndividual
Primary Taxonomy171100000X
Provider Legal NameDR. WILDER AWEN ROSECredential: DSOM
Location Address3115 NE SANDY BLVD STE 231Portland, OR 97232-2779
Mailing Address3115 Ne Sandy Blvd Ste 231Portland, OR 97232-2779
Sole ProprietorNo
Enumeration DateDecember 17, 2020
Last NPPES UpdateAugust 21, 20242 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
NPI 1588250047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License Licensed in OR · AC203008
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
3115 NE SANDY BLVD STE 231, Portland, OR 97232

Accepted Insurance

Other Providers at the Same Location NPPES 7

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

Naturopath
3115 NE SANDY BLVD STE 231
PORTLAND, OR 97232
Chiropractor
3115 NE SANDY BLVD STE 231
PORTLAND, OR 97232
Acupuncturist
3115 NE SANDY BLVD STE 231
PORTLAND, OR 97232
Naturopath
3115 NE SANDY BLVD STE 231
PORTLAND, OR 97232
Naturopath
3115 NE SANDY BLVD STE 231
PORTLAND, OR 97232
Naturopath
3115 NE SANDY BLVD STE 231
PORTLAND, OR 97232
Naturopath
3115 NE SANDY BLVD STE 231
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 Wilder Rose's NPI number?

The NPI number for Wilder Rose is 1588250047. It was assigned to this individual provider in the NPPES registry on December 17, 2020.

Where is Wilder Rose located?

Wilder Rose practices at 3115 NE Sandy Blvd Ste 231, Portland, OR 97232. The listed phone number is (503) 701-8766.

What is Wilder Rose's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

What insurance does Wilder Rose accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Wilder Rose as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wilder Rose was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.