Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jordan William Wilde, DC

Individual provider Chiropractor · NPI 1922370543

Dr. Jordan William Wilde, DC is a Chiropractic in Gresham, Oregon. Graduated from Western States College of Chiropractic in 2011, 15 years ago. Practices with Milwaukie Spine and Sport, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
15
Trained at
Western States College of Chiropractic
Licensed in
OR
In the registry since
2012
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

191 SE Stark St
Gresham, OR 97233-8386
Phone: (503) 328-9300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5033 (OR)

Record details

NPI number1922370543
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedJanuary 27, 2012
Last updated in NPPESOctober 13, 2020
Certification dateOctober 13, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolWESTERN STATES COLLEGE OF CHIROPRACTIC
Graduated 2011 (15 years in practice)
Group practice Milwaukie Spine And Sport, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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