Individual provider · Type 1 NPI

Jonathan Douglas Wildi, MD

Family Medicine Physician · Beaverton, OR

NPI number 1710298583 Active

Practice location

4855 SW Western Ave
Beaverton, OR 97005-3460

Call (800) 813-2000 Map

Mailing address

500 NE Multnomah St Ste 100
Portland, OR 97232-2031

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XMD184942 (OR)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Family Medicine Physician: 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.

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About NPI 1710298583

Jonathan Douglas Wildi, MD's National Provider Identifier is 1710298583, issued on Jun 28, 2010. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Beaverton, OR. The record was last updated on May 22, 2025.