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

Dr. Roger A Wicklund, MD

Individual provider Urology Physician · NPI 1417065848

Dr. Roger A Wicklund, MD is an Urology Physician in Portland, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2006.

Licensed in
OR, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9135 SW Barnes Rd Ste 663
Portland, OR 97225-6646
Phone: (503) 297-1078
Fax: (503) 292-2176
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence MD09630 (OR)
Urology Physician Taxonomy 208800000X · Licence MD00034648 (WA)

Record details

NPI number1417065848
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 27, 2006
Last updated in NPPESOctober 16, 2012
Mailing address9135 Sw Barnes Rd, Ste. 663, Portland, OR 97225-6646

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