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

Talitha Grace Wilson

Individual provider Pulmonary Disease Physician · NPI 1396205217

Talitha Grace Wilson is a Pulmonary Disease in Portland, Oregon. Graduated from Oregon Health Sciences University School of Medicine in 2019, 7 years ago. Licensed in Oregon.

Years since qualifying
7
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
OR
In the registry since
2019

Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-8311
Show map & directions

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

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence MD220300 (OR)

Record details

NPI number1396205217
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 25, 2019
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026
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 specialtyPULMONARY DISEASE
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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