Individual provider Active NPI

Melinda Wang

  • Vascular & Interventional Radiology Physician
  • Portland, OR
National Provider Identifier
1619436086
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD226095 Issued in OR
Practice address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone
(503) 494-7660
NPI assigned
Mar 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Vascular & Interventional Radiology Physician 2085R0204X MD226095 OR Primary

Addresses

Primary practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Mailing address

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-7660

Other practice location 1

501 N Graham St Ste 515
Portland, OR 97227-2003
Phone (503) 413-4330

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250723003196 OR Practitioner - Interventional Radiology 2567978745 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Mount Hood Medical CenterGroup PAC ID 3173515996, 58 clinicians
University Professional ServicesGroup PAC ID 4880760107, 1,683 clinicians
Tuality Medical Group LLCGroup PAC ID 7416173414, 289 clinicians
Legacy Meridian Park HospitalGroup PAC ID 5092609842, 113 clinicians

Practice addresses (Care Compare)

2222 NW Lovejoy St
Suite 505
Portland, OR 97210-5103
Phone (503) 413-4330

24800 SE Stark St
Gresham, OR 97030-3378
Phone (503) 661-9150

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311

335 SE 8TH Ave
Hillsboro, OR 97123-4246
Phone (503) 681-1111

501 N Graham St
Suite 220
Portland, OR 97227-2014
Phone (503) 280-3418

6475 SW Borland Rd
Suite F
Tualatin, OR 97062-9708
Phone (503) 413-6534

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Emanuel Hospital & Health Center CurrentSince Aug 11, 2025 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Aug 11, 2025 Accepting new patients
University Professional Services CurrentSince Jul 1, 2025 Accepting new patients
Tuality Medical Group LLC CurrentSince Jul 1, 2025 Accepting new patients
Legacy Meridian Park Hospital CurrentSince Aug 11, 2025 Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Current Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Aug 11, 2025 Accepting new patients
Tuality Medical Group LLC CurrentSince Jul 1, 2025 Accepting new patients
Legacy Mount Hood Medical Center Current Accepting new patients
University Professional Services Current Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Aug 11, 2025 Accepting new patients
University Professional Services CurrentSince Jul 1, 2025 Accepting new patients
Legacy Mount Hood Medical Center CurrentSince Aug 11, 2025 Accepting new patients
Legacy Meridian Park Hospital PastSince Aug 11, 2025 Accepting new patients

Locations

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

24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

501 N Graham St
Ste 220
Portland, OR 97227
Phone (503) 413-4710

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

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

501 N Graham St
Ste 515
Portland, OR 97227
Phone (503) 282-0943

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074

2222 NW Lovejoy St
Ste 505
Portland, OR 97210
Phone (503) 226-4091

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

6475 SW Borland Rd
Ste F
Tualatin, OR 97062
Phone (503) 692-2527

Interoperability endpoints

  • Direct secure messaging: mwang200393@direct.ohsu.edu

Organizations & group practices 15

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

View all 15

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1619436086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-7660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 N Graham St Ste 515",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972272003",
            "country_code": "US",
            "telephone_number": "503-413-4330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "MELINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-15",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OR",
            "license": "MD226095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.