Individual provider Active NPI

Ying Wu, DDS, PHD

  • Oral and Maxillofacial Surgery (Dentist)
  • Portland, OR
National Provider Identifier
1265662894
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D11594 Issued in OR
Practice address
3181SW Samjackson Park Rd
Portland, OR 97239
Phone
(503) 494-0292
NPI assigned
Jul 16, 2009
Last updated
Jun 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D11594 OR Primary

Addresses

Primary practice location

3181SW Samjackson Park Rd
Portland, OR 97239

Mailing address

2730 SW Moody Ave
Portland, OR 97201
Phone (503) 494-8867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151118002955 OR Practitioner - Oral Surgery 1153621420 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
D11594ORMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Health and Science University CurrentSince Sep 18, 2020 Accepting new patients
University Professional Services CurrentSince Dec 25, 2018 Accepting new patients
Oregon Health & Science University CurrentSince Sep 18, 2020 Accepting new patients
University Professional Services Current Accepting new patients
Oregon Health & Science University Current Accepting new patients
University Professional Services CurrentSince Dec 25, 2018 Accepting new patients

Locations

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

2730 S Moody Ave
Portland, OR 97201
Phone (503) 494-3633

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

611 SW Campus Dr
Rm 119
Portland, OR 97239
Phone (503) 494-4316

611 SW Campus Dr
Rm 19
Portland, OR 97239
Phone (503) 494-4316

Interoperability endpoints

  • Direct secure messaging: ywu97249@direct.ohsu.edu

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1265662894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 SW MOODY AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97201",
            "telephone_number": "503-494-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181SW SAMJACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97239",
            "telephone_number": "503-494-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "YING",
        "credential": "DDS, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OR",
            "license": "D11594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.