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

Dr. Jacqueline Mahn Kwan Wong, MD

Individual provider Gynecology Physician · NPI 1043609712

Dr. Jacqueline Mahn Kwan Wong, MD is an Obstetrics/Gynecology in Portland, Oregon. Graduated from Northwestern University Feinberg Medical School in 2015, 11 years ago. Practices with University Professional Services, a 1,704-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Oregon.

Years since qualifying
11
Trained at
Northwestern University Feinberg Medical School
Licensed in
IL, OR
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 418-4500
Fax: (503) 494-1678
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 125066452 (IL)
Gynecology Physician Taxonomy 207VG0400X · Licence MD204040 (OR)

Record details

NPI number1043609712
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 17, 2015
Last updated in NPPESMay 29, 2021
Certification dateMay 29, 2021

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 2015 (11 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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