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WONDERFUL MEDICAL GROUP PC
NPI 1154914232
Family Medicine in Portland, OR

Active since February 19, 2021
920 SW 6TH AVE STE 1200, PORTLAND, OR 97204(503) 208-4116(503) 213-6510 Get Directions Write a Review

NPPES record last updated: July 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2021, Mar 6, 2021, Feb 19, 2021 (3 updates tracked since 2021).

About Wonderful Medical Group Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WONDERFUL MEDICAL GROUP PC (NPI 1154914232) is a healthcare organization registered as a family medicine in Portland, Oregon and active in the NPI registry since February 2021. The organization lists Jeffrey Lee Katz, President, as its authorized official.

NPPES Registry Identity

NPI1154914232
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWONDERFUL MEDICAL GROUP PC
Location Address920 SW 6TH AVE STE 1200Portland, OR 97204-1212
Mailing AddressPo Box 1714Beaverton, OR 97075-1714 · (503) 208-4116 · Fax (503) 213-6510
Phone(503) 208-4116
Fax(503) 213-6510
Organization SubpartNo
Authorized OfficialJeffrey Lee KatzPresident · (508) 404-9910
Enumeration DateFebruary 19, 2021
Last NPPES UpdateJuly 25, 20213 updates tracked since enumeration
NPPES CertifiedJuly 25, 2021
✔ NPI 1154914232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
920 SW 6TH AVE STE 1200, Portland, OR 97204
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wonderful Medical Group PC's NPI number?

The NPI number for Wonderful Medical Group PC is 1154914232. It was assigned to this organization in the NPPES registry on February 19, 2021.

Where is Wonderful Medical Group PC located?

Wonderful Medical Group PC is located at 920 SW 6th Ave Ste 1200, Portland, OR 97204. The listed phone number is (503) 208-4116.

What is Wonderful Medical Group PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Wonderful Medical Group PC was last updated on July 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.