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WELLINGTON PROVIDER GROUP, PC
NPI 1619689957
Family Medicine in Portland, OR

Active since December 19, 2022
10260 SW GREENBURG RD FL 4, PORTLAND, OR 97223(859) 439-0400 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wellington Provider Group, Pc NPPES

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

WELLINGTON PROVIDER GROUP, PC (NPI 1619689957) is a healthcare organization registered as a family medicine in Portland, Oregon and active in the NPI registry since December 2022. The organization lists Mariela Bravo, Credentialing Team Lead, as its authorized official.

NPPES Registry Identity

NPI1619689957
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLINGTON PROVIDER GROUP, PC
Location Address10260 SW GREENBURG RD FL 4Portland, OR 97223-5500
Mailing Address535 Wellington Way Ste 330Lexington, KY 40503-1331
Phone(859) 439-0400
Organization SubpartYes
Authorized OfficialMariela BravoCredentialing Team Lead · (831) 313-6799
Enumeration DateDecember 19, 2022
NPPES CertifiedDecember 19, 2022
✔ NPI 1619689957 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.
10260 SW GREENBURG RD FL 4, Portland, OR 97223
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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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THVC SERVICES OF OR PC
Clinic/Center (Urgent Care)
10260 SW GREENBURG RD FL 4
PORTLAND, OR 97223
Washington County (865) 693-1000
XIAO ZHANG RDN
Dietitian, Registered
10260 SW GREENBURG RD FL 4
PORTLAND, OR 97223
Washington County (857) 294-3900
VIBRANT MENTAL WELLNESS LLC
Clinical Nurse Specialist (Psychiatric/Mental Health)
10260 SW GREENBURG RD FL 4
PORTLAND, OR 97223
Washington County (763) 568-6378
SARAH SHUTE LCSW, CADC III
Social Worker (Clinical)
10260 SW GREENBURG RD FL 4
TIGARD, OR 97223
Washington County (503) 298-5096
DEBDEEP NATH N.P.
Nurse Practitioner (Pediatrics)
10260 SW GREENBURG RD FL 4
PORTLAND, OR 97223
Washington County (971) 334-1381
OR MC SPROUT 1 LLC
Behavior Analyst
10260 SW GREENBURG RD FL 4
PORTLAND, OR 97223
Washington County (833) 991-7193
LW CARE LLC
In Home Supportive Care
10260 SW GREENBURG RD FL 4
PORTLAND, OR 97223
Washington County (915) 247-6129
MS. CAILEY M RODGERS BCBA
Behavior Analyst
10260 SW GREENBURG RD FL 4
PORTLAND, OR 97223
Washington County (833) 991-2368

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 Wellington Provider Group, PC's NPI number?

The NPI number for Wellington Provider Group, PC is 1619689957. It was assigned to this organization in the NPPES registry on December 19, 2022.

Where is Wellington Provider Group, PC located?

Wellington Provider Group, PC is located at 10260 SW Greenburg Rd Fl 4, Portland, OR 97223. The listed phone number is (859) 439-0400.

What is Wellington Provider 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 Wellington Provider Group, PC was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.