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

Tim I Wilcox, MD

Individual provider Family Medicine Physician · NPI 1760688568

Tim I Wilcox, MD is a Family Practice in Portland, Oregon. Graduated from University of New Mexico School of Medicine in 2007, 19 years ago. Practices with Peacehealth Networks on Demand LLC, a 201-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Mexico and Oregon.

Years since qualifying
19
Trained at
University of New Mexico School of Medicine
Licensed in
NM, OR
In the registry since
2007
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

5050 NE Hoyt St Ste 454
Portland, OR 97213-2984
Phone: (503) 215-6405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 University Of New Mexico, Albuquerque, NM 87131 — (505) 272-2165

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD190891 (OR)
Family Medicine Physician Taxonomy 207Q00000X · Licence RS2007-0387 (NM)

Record details

NPI number1760688568
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2007
Last updated in NPPESDecember 20, 2019
Certification dateDecember 20, 2019
Mailing addressPo Box 3158, Portland, OR 97208-3158

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Peacehealth Networks On Demand Llc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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