IndividualActive
Michael Wollenberg, M.D.
NPI 1417193632 · Critical Care Medicine (Anesthesiology) Physician · Portland, OR
Provider details
- NPI number
- 1417193632
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD156369 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
3181 Sw Sam Jackson Park Rd
Mailcode - Uh2
Portland, OR 97239-3011
Phone: (503) 494-7641
Street-level locationGet directions
Mailing address
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Registry dates
- Enumerated
- 2008-12-17
- Last updated
- 2013-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.