Active NPI
Jessica L Wilson, DO
- Family Medicine Physician
- Beaverton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO210423
- Practice address
- 6800 SW 105TH Ave Ste 206
Beaverton, OR 97008-5487 - Phone
- (503) 430-1777
- Fax
- (503) 372-5119
- NPI assigned
- Mar 10, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO210423 | OR | Primary |
Addresses
Primary practice location
6800 SW 105TH Ave Ste 206
Beaverton, OR 97008-5487
Mailing address
6800 SW 105TH Ave Ste 206
Beaverton, OR 97008-5487
Phone (503) 430-1777
Other names 1
- Jessica L Hu
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6800 SW 105TH Ave
Beaverton, OR 97008-5468
Phone (503) 430-1777
Hospital & facility affiliations
- Hillsboro Health and Rehabilitation
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients | |
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients | |
| CRM Physicians, LLC | Family Medicine | Current | Accepting new patients |
| Legacy Good Samaritan Hospital and Medical Center | Current | Accepting new patients |
Locations
6800 SW 105th Ave
Beaverton, OR 97008
1960 NW 167th Pl
Ste 100
Beaverton, OR 97006
Phone (503) 672-6000
6800 SW 105th Ave
Ste 206
Beaverton, OR 97008
650 SE Oak St
Hillsboro, OR 97123
Phone (503) 648-8588
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
-
- Community/Retail Pharmacy
- Portland, OR
- NPI 1609896174
-
- Clinic/Center
- Portland, OR
- NPI 1679597108
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1770024697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 SW 105TH AVE STE 206",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970085487",
"telephone_number": "503-430-1777",
"fax_number": "503-372-5119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 SW 105TH AVE STE 206",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970085487",
"telephone_number": "503-430-1777",
"fax_number": "503-372-5119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "JESSICA",
"middle_name": "L",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-10",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "DO210423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "HU",
"middle_name": "L",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.