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

Benjamin Wang

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114488897

Benjamin Wang is an Internal Medicine in Portland, Oregon. Graduated from Medical College of Wisconsin in 2019, 7 years ago. Practices with Legacy Clinics LLC, a 718-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
7
Trained at
Medical College of Wisconsin
Licensed in
OR
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098
Phone: (503) 494-8211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD211431 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence PG206452 (OR)

Record details

NPI number1114488897
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 26, 2019
Last updated in NPPESMarch 9, 2023
Certification dateSeptember 28, 2021
Mailing address3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2019 (7 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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