OrganizationActive
The Medical Wellness Clinic, LLC
NPI 1295922755 · Internal Medicine Physician · Lake Oswego, OR
Provider details
- NPI number
- 1295922755
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stephen Weil, Clinic Director(503) 697-3001
- License
- MD07794 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
4035 Mercantile Dr
Suite 101
Lake Oswego, OR 97035-2546
Phone: (503) 697-3001
Fax: (503) 697-0906
Street-level locationGet directions
Mailing address
4035 Mercantile Dr
Lake Oswego, OR 97035-2546
Registry dates
- Enumerated
- 2007-09-28
- Last updated
- 2007-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.