OrganizationActive
Wonderful Medical Group PC
NPI 1154914232 · Family Medicine Physician · Portland, OR
Provider details
- NPI number
- 1154914232
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Katz, President(508) 404-9910
Specialties & taxonomies
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
920 Sw 6th Ave Ste 1200
Portland, OR 97204-1212
Phone: (503) 208-4116
Fax: (503) 213-6510
Street-level locationGet directions
Mailing address
Po Box 1714
Beaverton, OR 97075-1714
Registry dates
- Enumerated
- 2021-02-19
- Last updated
- 2021-07-25
- Certified
- 2021-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.