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

Dr. Wilder Awen Rose, DSOM

Individual provider Acupuncturist · NPI 1588250047

Dr. Wilder Awen Rose, DSOM is an Acupuncturist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2020.

Licensed in
OR
In the registry since
2020
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3115 NE Sandy Blvd Ste 231
Portland, OR 97232-2779
Phone: (503) 701-8766
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC203008 (OR)

Record details

NPI number1588250047
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials DSOM
Sole proprietorNo
NPI enumeratedDecember 17, 2020
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024

Other providers in Portland