Wildwood Health and Wellness
Family Medicine

Address: 4906 Ne Cleveland Ave, Portland, OR 97211-2718
Phone: 3039298993

Wildwood Health and Wellness (NPI# 1013513472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1013513472
Entity Type Organization
Organization Name WILDWOOD HEALTH AND WELLNESS
Practice Address 4906 Ne Cleveland Ave
Portland
OR 97211-2718
Practice Telephone 3039298993
Mailing Address 4906 Ne Cleveland Ave
Portland
OR 97211-2718
Mailing Telephone 3039298993
Authorized Official Name Allison Renee Rott (PHYSICIAN ASSISTANT)
Authorized Official Telephone 3039298993
Authorized Official Credential PA-C
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-12-09
Last Update Date 2020-12-09

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
No 2084N0400X Psychiatry & Neurology · Neurology Allopathic & Osteopathic Physicians

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295331304 Aaa Health Services, LLC Family Medicine 12774 Se Stark St, Portland, OR 97233-1539 2020-12-05
1770107302 Vpa PC Family Medicine 1500 Ne 15th Ave Apt 431, Portland, OR 97232-4418 2020-05-29
1639710783 Christine Elizabeth O'connor Family Medicine 6336 Se 61st Ave, Portland, OR 97206-6718 2019-09-30
1427608645 Carehere LLC Family Medicine Carehere Clinic- Nasg Portland, Tn, 160 Kirby Drive, Portland, TN 37148 2019-09-19
1063064285 Victoria A Deane Family Medicine 37 Fall Brook St, Portland, ME 04103-4224 2019-07-09
1598238214 Whole Systems Healthcare Family Medicine 1020 Sw Taylor St Ste 340, Portland, OR 97205-2508 2019-01-04
1770089245 Richard Farwell Leman Family Medicine 800 Ne Oregon St., Suite 772, Portland, OR 97232 2018-04-03
1952803413 Aleksandra Giedowyn Md PC Family Medicine 1923 Ne Broadway Street Suite 2, Portland, OR 97232 2018-03-01
1871943159 Micah Kiehl Family Medicine 4427 Ne Fremont St, Portland, OR 97213-1153 2016-06-16
1083068589 Carrie Lynn Binder Family Medicine 1035 Nw Northrup St, Portland, OR 97209-3017 2016-04-20
Find all providers in PORTLAND

Office Location

Street Address 4906 NE CLEVELAND AVE
City PORTLAND
State OR
Zip Code 97211-2718

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073014601 Kelli Minton Behavior Technician 7035 Ne 9th Ave, Portland, OR 97211 2018-02-28
1083145726 Warren H Baumann Registered Nurse 854 Ne Simpson St, Portland, OR 97211 2017-03-24
1407277411 Regina Barnett Case Manager/Care Coordinator 509 Ne Alberta St., Portland, OR 97211 2013-12-17
1578905964 Carmel Therese Irving Social Worker 5912 Ne 16th Ave, Portland, OR 97211 2013-07-25
1629310990 Lisa Peacock Counselor 4433 Ne 35 Place, Portland, OR 97211 2013-03-25
1285907915 Michele Karen Koder Pharmacist 3529 Ne Martin Luther King, Jr. Blvd., Portland, OR 97211 2012-02-10
1629368196 Alexis Miranda Barker Massage Therapist 4929 Ne 30th Ave, Zen Space Healing, Portland, OR 97211 2011-04-18
1396041760 Kara Ann Fuerst Specialist 3325 Ne Prescott, Portland, OR 97211 2011-02-02
1063746337 Laura K Elvers Pharmacist 6116 Ne Mlk, Portland, OR 97211 2009-09-18
1871725374 Vernon Santos Tionquiao Occupational Therapist 319 Ne Russet Street, Portland, OR 97211 2009-08-17
Find all providers in zip 97211

Competitor

Search similar providers

City PORTLAND
Zip Code 97211

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.