Organization Active NPI

Womens Healthcare Clinic of Oregon PC

  • Obstetrics & Gynecology Physician
  • Portland, OR
National Provider Identifier
1467453316
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD18458 Issued in OR
Legal business name
WOMENS HEALTHCARE CLINIC OF OREGON PC
Practice address
10000 SE Main St Ste 236
Portland, OR 97216-2469
Phone
(503) 256-1470
Fax
(503) 265-1283
NPI assigned
Aug 2, 2005
Last updated
May 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Sharon Elizabeth Wong, MDNPI 1770658361
Title
President
Phone
(503) 256-1470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G70228 CA
Obstetrics & Gynecology Physician 207V00000X MD18458 OR Primary

Addresses

Primary practice location

10000 SE Main St Ste 236
Portland, OR 97216-2469

Mailing address

10000 SE Main St Ste 236
Portland, OR 97216-2469
Phone (503) 256-1470

Other identifiers 1

IdentifierTypeStateIssuer
276704MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040810000607 OR Part B Supplier - Clinic/Group Practice 2668444704 Receives reassigned benefits from 4 practitioners
Practice locations: Portland, OR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0624263Womens Healthcare Clinic of Oregon PC10000 SE Main St Ste 236, Portland, OR 97216Provider-performed microscopyDec 31, 2027

National Provider Directory

National Provider Directory

Locations

10000 SE Main St
Ste 10
Portland, OR 97216
Phone (503) 256-1470

10000 SE Main St
Ste 110
Portland, OR 97216
Phone (503) 256-1470

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1467453316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST STE 236",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162469",
            "telephone_number": "503-256-1470",
            "fax_number": "503-256-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST STE 236",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162469",
            "telephone_number": "503-256-1470",
            "fax_number": "503-265-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS HEALTHCARE CLINIC OF OREGON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-256-1470",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G70228",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD18458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276704",
            "state": "OR"
        }
    ],
    "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 May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.