Charles Men Wong, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD14849 Issued in OR

Practice address

2850 SE Powell Valley Rd
Gresham, OR 97080-1494

Phone

(503) 666-5050

Fax

(503) 666-7410

NPI assigned

Jul 25, 2006

Last updated

Nov 3, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Oregon Health Sciences University School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Care Express PCGroup PAC ID 0446487102, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Urgent Care Express PC

  • Urgent Care Clinic/Center
  • Portland, OR
  • NPI 1639428436
  Medicare reassignment Care Compare group NPD
• Mobilmed

  • Health Service Clinic/Center
  • Portland, OR
  • NPI 1639555162
  NPD (past)
• Portland Wellness Care

  • Rehabilitation Clinic/Center
  • Portland, OR
  • NPI 1801286117
  NPD (past)
• Urgent Care NW Gresham PC

  dba Gresham Urgent Care

  • Urgent Care Clinic/Center
  • Gresham, OR
  • NPI 1336128321
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1659394187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125336",
            "telephone_number": "503-249-9000",
            "fax_number": "503-719-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 SE POWELL VALLEY RD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970801494",
            "telephone_number": "503-666-5050",
            "fax_number": "503-666-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "CHARLES",
        "middle_name": "MEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OR",
            "license": "MD14849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lena Marlene Witkowski, RN, QMHP
• Roger John Wobig, M.D.
• Erik Wold, LMT
• Tiffany D Wolleat, CADCI/CRMII/PSS/QMHA
• Regina S. Won, M.D.
• Michael Wong
• Erin Kaye Wood, NP
• Courtney Woods
• Amy Marilyn Woodson, PA-C
• Melissa Woodyard, N.D.

• General Practice Physician in Gresham, OR
• Providers in Gresham, OR by specialty
• General Practice Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.