Lance Wilde

NPI 1558252254 · on the registry since 2025 · sole proprietor

Practice

Address: 501 N Graham St
Portland, OR 97227
Phone: (503) 413-4121
Organisation at this address: Rdc, Llc
Women'S Clinic Pc
Pacific Surgical Pc
Surgical Center, Inc
The Urology Clinic Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 186

Registry record

Primary taxonomy: 163W00000X
163W00000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-07-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon