IndividualActive
Addison Wilson, M.D.
NPI 1861424764 · Family Medicine Physician · Portland, OR
Provider details
- NPI number
- 1861424764
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD17686 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
15285 Nw Central Dr
Portland, OR 97229-0973
Phone: (503) 216-9060
Fax: (503) 216-9098
Street-level locationGet directions
Mailing address
Po Box 13994
Portland, OR 97213-0994
Registry dates
- Enumerated
- 2006-07-07
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.