Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wellington Provider Group, PC

Organization Family Medicine Physician · NPI 1619689957

Wellington Provider Group, PC is a Family Medicine Physician in Portland, Oregon. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10260 SW Greenburg Rd Fl 4
Portland, OR 97223-5500
Phone: (859) 439-0400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1619689957
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWellington Provider Group, PC
Authorized official Mariela Bravo — Credentialing Team Lead · (831) 313-6799
NPI enumeratedDecember 19, 2022
Last updated in NPPESDecember 19, 2022
Certification dateDecember 19, 2022
Mailing address535 Wellington Way Ste 330, Lexington, KY 40503-1331

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