Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JENNY LUPOVICI WILSON, M.D.
ActiveDR. JENNY LUPOVICI WILSON, M.D. is a Neurology with Special Qualifications in Child Neurology healthcare provider located in PORTLAND, Oregon. NPI 1205094406 is currently active in the NPPES registry. Verify at CMS.
Neurology with Special Qualifications in Child Neurology · PORTLAND, OR
Registration Details
- NPI Number
- 1205094406
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 26, 2008 (18.26559233528 yrs)
- Last Updated
- May 21, 2013
- Licenses
-
MD162292 (OR)MD441944 (PA)
Practice Information
- Address
-
707 SW GAINES STPORTLAND, OR, 972392901Browse OR providers · Browse ZIP 97239
- Phone
- 5034949113
- Primary Specialty
-
Neurology with Special Qualifications in Child Neurology
2084N0402X
- Additional Specialty
- Neurology with Special Qualifications in Child Neurology
Other Neurology with Special Qualifications in Child Neurology Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| DR. MICHELE E METRICK | M.D. | 1366402604 |
| AMY KAO | MD | 1215942719 |
| BARRY SHELDON RUSSMAN | MD | 1629083142 |
| STEPHEN ARTHUR BACK | MD | 1356358287 |
| COLIN MATTHEW ROBERTS | MD | 1295743722 |
| RICHARD J KONKOL | M.D. PHD | 1417041989 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.