IndividualActive
Roger Wilder
NPI 1497153076 · Addiction (Substance Use Disorder) Counselor · Salem, OR
Provider details
- NPI number
- 1497153076
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 13-09-59 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3871 Fairview Industrial Dr Se
St #105
Salem, OR 97302-1180
Phone: (503) 391-9765
Fax: (503) 391-2019
Street-level locationGet directions
Mailing address
3871 Fairview Industrial Dr Se
Salem, OR 97302
Registry dates
- Enumerated
- 2014-12-12
- Last updated
- 2014-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.