OrganizationActive
Wildwood Health and Wellness
NPI 1013513472 · Family Medicine Physician · Beaverton, OR
Provider details
- NPI number
- 1013513472
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Allison Rott, Physician Assistant(303) 929-8993
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Neurology Physician2084N0400X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
16100 Nw Cornell Rd Ste 220
Beaverton, OR 97006-7334
Phone: (303) 929-8993
Approximate (ZIP-level) locationGet directions
Mailing address
4906 Ne Cleveland Ave
Portland, OR 97211-2718
Registry dates
- Enumerated
- 2020-12-09
- Last updated
- 2020-12-23
- Certified
- 2020-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.