Wonderful Medical Group PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WONDERFUL MEDICAL GROUP PC

Practice address

920 SW 6TH Ave Ste 1200
Portland, OR 97204-1212

Phone

(503) 208-4116

Fax

(503) 213-6510

NPI assigned

Feb 19, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffrey Lee Katz, MDNPI 1992757264

Title

President

Phone

(508) 404-9910

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22864/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Lee Katz, MD

  • Family Medicine Physician
  • Beaverton, OR
  • NPI 1992757264
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627171200000",
    "number": "1154914232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1714",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970751714",
            "telephone_number": "503-208-4116",
            "fax_number": "503-213-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 SW 6TH AVE STE 1200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041212",
            "telephone_number": "503-208-4116",
            "fax_number": "503-213-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERFUL MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-07-25",
        "certification_date": "2021-07-25",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-404-9910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Womens Healthcare Clinic of Oregon PC
• Womens Healthcare Services
• Rylie Womer
• Wonder Wendy
• Wonder Wendy
• Bret Anthony Wonderlick, M.S. CCC-A
• Travis V Wonders, PSYD
• Savanna Wonderwheel, LMT
• Marake Wondwossen
• Julia Ann Wong-Ngan, PH.D.

• Family Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.