IndividualActive
Maureen Wiese, C.PED
NPI 1003978610 · Specialist · Portland, OR
Provider details
- NPI number
- 1003978610
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- C.PED
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% 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
11211 Se 82nd, Ave
Ste. D
Portland, OR 97086
Phone: (503) 653-8700
Fax: (503) 653-8739
Street-level locationGet directions
Mailing address
11211 Se 82nd, Ave
Portland, OR 97266
Registry dates
- Enumerated
- 2006-12-14
- Last updated
- 2024-09-26
- Certified
- 2024-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.