IndividualActive
Jonathan Wildi, M.D.
NPI 1710298583 · Family Medicine Physician · Beaverton, OR
Provider details
- NPI number
- 1710298583
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD184942 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
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
15 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
4855 Sw Western Ave
Beaverton, OR 97005-3460
Phone: (800) 813-2000
Street-level locationGet directions
Mailing address
500 Ne Multnomah St Ste 100
Portland, OR 97232-2031
Registry dates
- Enumerated
- 2010-06-28
- Last updated
- 2025-05-22
- Certified
- 2025-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.