OrganizationActive
Wildwood Family Medicine, LLC
NPI 1952718579 · Primary Care Clinic/Center · Portland, OR
Provider details
- NPI number
- 1952718579
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lisa Bryant, Owner(360) 903-4866
- License
- 1974 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
7319 N John Ave
#101
Portland, OR 97203-4885
Phone: (503) 289-3370
Street-level locationGet directions
Mailing address
315 W 24th St
Vancouver, WA 98660-2528
Registry dates
- Enumerated
- 2014-07-15
- Last updated
- 2014-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.