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

Dr. Jenny Lupovici Wilson, MD

Individual provider Neurology with Special Qualifications in Child Neurology Physician · NPI 1205094406

Dr. Jenny Lupovici Wilson, MD is a Pediatric Medicine in Portland, Oregon. Graduated from Stanford University School of Medicine in 2008, 18 years ago. Practices with University Professional Services, a 1,704-clinician group and accepts Medicare assignment. Licensed in Oregon and Pennsylvania.

Years since qualifying
18
Trained at
Stanford University School of Medicine
Licensed in
OR, PA
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

707 SW Gaines St
Portland, OR 97239-2901
Phone: (503) 494-9113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X · Licence MD162292 (OR)
Neurology with Special Qualifications in Child Neurology Physician Taxonomy 2084N0402X · Licence MD441944 (PA)

Record details

NPI number1205094406
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 26, 2008
Last updated in NPPESMay 21, 2013

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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