Individual
KATHLEEN JENNIFER WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MHS
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-9000
(503) 494-2391
Mailing address
1400 SW 5TH AVE, PORTLAND, OR 97201-5537
(503) 418-4500
(503) 346-8015
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD25779
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256334
—
AZ
05
—
68171731
—
CO
05
—
71557270
—
NM
Enumeration date
05/16/2007
Last updated
11/12/2025
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