Active NPI
Franklin Summ Wong, MD
- Physical Medicine & Rehabilitation Physician
- Portland, OR
National Provider Identifier
1215959465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 12373
- Practice address
- 123 NE 3Rd Ave
Suite 315
Portland, OR 97232-2967 - Phone
- (503) 235-8000
- Fax
- (503) 235-0865
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 12373 | OR | Primary |
Addresses
Primary practice location
123 NE 3Rd Ave
Suite 315
Portland, OR 97232-2967
Mailing address
123 NE 3Rd Ave
Suite 315
Portland, OR 97232-2967
Phone (503) 235-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12373 | OR | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215959465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 NE 3RD AVE",
"address_2": "SUITE 315",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322967",
"telephone_number": "503-235-8000",
"fax_number": "503-235-0865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 NE 3RD AVE",
"address_2": "SUITE 315",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322967",
"telephone_number": "503-235-8000",
"fax_number": "503-235-0865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "FRANKLIN",
"middle_name": "SUMM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OR",
"license": "12373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.